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General NPI Number Information
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NPI Number | 1124428602
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Entity Type | Organization
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Legal Business Name | ROBBIES AMBULANCE SERVICE INC.
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Dates
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Enumeration Date | 09/03/2014
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Last Update Date | 09/03/2014
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Provider Practice Location Address
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Address Line | 1505 TAYLOR FARM RD # 404
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City | VIRGINIA BEACH
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State | VA
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Zip | 23453-3099
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Country | US
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Telephone | 757-785-0400
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 8873
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City | VIRGINIA BEACH
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State | VA
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Zip | 23450-8873
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Country | US
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Telephone | 757-647-6225
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | KENNETH A. MICHAUD
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Credential |
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Telephone | 757-785-0400
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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 | 1344
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License Number State | VA
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