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General NPI Number Information
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NPI Number | 1144628736
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Entity Type | Organization
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Legal Business Name | GUARDIAN ANGEL AMBULANCE
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Dates
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Enumeration Date | 12/12/2014
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Last Update Date | 12/12/2014
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Provider Practice Location Address
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Address Line | 1027 S CLINON AVE
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City | TRENTON
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State | NJ
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Zip | 08611
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Country | US
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Telephone | 215-764-0878
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Fax |
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Provider Business Mailing Address
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Address Line | 1027 S CLINTON AVE SUITE # 3
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City | TRENTON
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State | NJ
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Zip | 08611-2009
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Country | US
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Telephone | 215-764-0878
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MOHAMMAD S MUHANNA
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Credential |
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Telephone | 215-764-0878
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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 | NJ
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