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General NPI Number Information
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NPI Number | 1093578619
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Entity Type | Organization
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Legal Business Name | ALLSTAR AMBULANCE,LLC
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Dates
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Enumeration Date | 02/05/2024
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Last Update Date | 09/20/2025
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Provider Practice Location Address
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Address Line | 4459 SPYRES WAY STE E
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City | MODESTO
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State | CA
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Zip | 95356-8507
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Country | US
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Telephone | 209-554-9466
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Fax | 209-364-3736
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Provider Business Mailing Address
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Address Line | 4459 SPYRES WAY STE E
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City | MODESTO
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State | CA
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Zip | 95356-8507
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Country | US
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Telephone | 209-554-9466
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Fax | 209-364-3736
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Authorized Official
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Title or Position | CEO
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Name | RAMAN PAUL
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Credential |
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Telephone | 209-214-6186
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number |
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License Number State |
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