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General NPI Number Information
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NPI Number | 1154663409
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Entity Type | Organization
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Legal Business Name | AMBULINE
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Dates
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Enumeration Date | 03/25/2013
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Last Update Date | 09/18/2020
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Provider Practice Location Address
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Address Line | 6826 SPRINGFIELD AVE STE 201
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City | LAREDO
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State | TX
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Zip | 78041-2214
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Country | US
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Telephone | 956-786-9705
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Fax | 956-568-2038
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Provider Business Mailing Address
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Address Line | PO BOX 451634
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City | LAREDO
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State | TX
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Zip | 78045
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Country | US
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Telephone | 956-786-9705
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Fax | 956-568-2038
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. ROSA ELIA FIGUEROA
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Credential |
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Telephone | 956-489-8474
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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 | 1000888
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License Number State | TX
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