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General NPI Number Information
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NPI Number | 1124030739
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Entity Type | Organization
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Legal Business Name | ADVANCED MEDICAL AMBULANCE CORP
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Dates
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Enumeration Date | 08/12/2006
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Last Update Date | 08/08/2007
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Provider Practice Location Address
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Address Line | ST 3362 KM 0.4 WARD GUAMA
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City | SAN GERMAN
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State | PR
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Zip | 00683-2545
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Country | US
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Telephone | 787-264-5564
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Fax | 787-264-0703
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Provider Business Mailing Address
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Address Line | PO BOX 2545
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City | SAN GERMAN
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State | PR
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Zip | 00683-2545
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Country | US
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Telephone | 787-264-5564
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Fax | 787-264-0703
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Authorized Official
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Title or Position | PRESIDENTE
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Name | MRS. IRIS J ALBINO
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Credential |
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Telephone | 787-264-5564
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | TCAMB-388
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License Number State | PR
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