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General NPI Number Information
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NPI Number | 1134879877
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Entity Type | Organization
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Legal Business Name | FRONTLINE AMBULANCE LLC
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Dates
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Enumeration Date | 03/25/2022
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Last Update Date | 03/25/2022
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Provider Practice Location Address
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Address Line | 12862 GARDEN GROVE BLVD STE H
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City | GARDEN GROVE
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State | CA
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Zip | 92843-2021
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Country | US
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Telephone | 619-947-9606
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Fax |
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Provider Business Mailing Address
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Address Line | 5 BRAYTON CT
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City | LADERA RANCH
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State | CA
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Zip | 92694-1359
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Country | US
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Telephone | 619-947-9606
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MR. TALMADGE CLINE
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Credential |
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Telephone | 619-947-9606
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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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