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General NPI Number Information
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NPI Number | 1174602486
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Entity Type | Organization
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Legal Business Name | RAPID AMBULANCE SERVICE, INC
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Dates
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Enumeration Date | 11/06/2006
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Last Update Date | 11/21/2012
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Provider Practice Location Address
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Address Line | 901 TURNPIKE ST SUITE C
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City | CANTON
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State | MA
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Zip | 02021-2805
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Country | US
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Telephone | 781-575-0799
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 6640
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City | HOLLISTON
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State | MA
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Zip | 01746-6640
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Country | US
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Telephone | 781-575-0799
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ALEXANDER SMIRNOV
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Credential |
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Telephone | 508-259-0032
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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 | 3249
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License Number State | MA
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