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General NPI Number Information
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NPI Number | 1164886164
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Entity Type | Organization
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Legal Business Name | ON TIME AMBULETTE INC
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Dates
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Enumeration Date | 04/06/2016
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Last Update Date | 04/06/2016
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Provider Practice Location Address
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Address Line | 1073 ATLANTIC ST
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City | FRANKLIN SQUARE
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State | NY
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Zip | 11010-2811
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Country | US
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Telephone | 516-233-1931
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Fax | 516-502-4578
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Provider Business Mailing Address
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Address Line | 1073 ATLANTIC ST
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City | FRANKLIN SQUARE
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State | NY
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Zip | 11010-2811
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Country | US
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Telephone | 516-233-1931
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Fax | 516-502-4578
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JULIAN JOSE CORDON
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Credential |
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Telephone | 516-233-1931
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 344600000X
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Taxonomy Name | Taxi
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License Number | 02899741
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number | 02899741
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License Number State | NY
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