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General NPI Number Information
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NPI Number | 1164829263
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Entity Type | Organization
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Legal Business Name | ACE AMBULANCE SERVICE LLC
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Dates
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Enumeration Date | 12/04/2014
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Last Update Date | 12/04/2014
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Provider Practice Location Address
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Address Line | 28 SHERIDAN BLVD
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City | INWOOD
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State | NY
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Zip | 11096-1817
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Country | US
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Telephone | 516-371-2622
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Fax |
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Provider Business Mailing Address
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Address Line | 28 SHERIDAN BLVD
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City | INWOOD
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State | NY
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Zip | 11096-1817
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DANIEL LEIBOWITZ
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Credential |
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Telephone | 516-371-0870
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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 | 0884
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License Number State | NY
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