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General NPI Number Information
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NPI Number | 1164561601
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Entity Type | Organization
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Legal Business Name | ALLEN'S AMBULANCE
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Dates
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Enumeration Date | 02/05/2007
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Last Update Date | 11/06/2019
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Provider Practice Location Address
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Address Line | 4731 BELL RD
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City | DILLWYN
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State | VA
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Zip | 23936
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Country | US
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Telephone | 434-988-3170
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Fax | 434-983-1945
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Provider Business Mailing Address
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Address Line | 4731 BELL RD
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City | DILLWYN
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State | VA
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Zip | 23936
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Country | US
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Telephone | 434-988-3170
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Fax | 434-983-1945
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Authorized Official
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Title or Position | SUPERVISOR
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Name | MRS. SAMANTHA B BERSCH
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Credential | SUPERVISOR
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Telephone | 434-983-3170
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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 | VA
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