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General NPI Number Information
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NPI Number | 1114172327
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Entity Type | Organization
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Legal Business Name | STARCARE AMBULANCE
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Dates
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Enumeration Date | 12/02/2008
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Last Update Date | 12/02/2008
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Provider Practice Location Address
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Address Line | 309 CAMER DR UNIT 3
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City | BENSALEM
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State | PA
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Zip | 19020-7323
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Country | US
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Telephone | 215-917-9817
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Fax | 215-244-4441
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Provider Business Mailing Address
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Address Line | 309 CAMER DR UNIT 3
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City | BENSALEM
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State | PA
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Zip | 19020-7323
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Country | US
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Telephone | 215-917-9817
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Fax | 215-244-4441
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | GARY S DUBIN
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Credential |
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Telephone | 215-917-9817
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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 | 06126
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License Number State | PA
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