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General NPI Number Information
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NPI Number | 1194775676
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Entity Type | Organization
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Legal Business Name | YARLUSEMS AMBULANCE CORP.
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Dates
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Enumeration Date | 05/12/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | MIRAFLORES CALLE 23 # 11-24
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City | BAYAMON
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State | PR
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Zip | 00957-6707
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Country | US
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Telephone | 787-459-3082
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Fax | 787-799-5861
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Provider Business Mailing Address
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Address Line | MIRAFLORES PLZ
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City | BAYAMON
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State | PR
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Zip | 00957-6707
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Country | US
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Telephone | 787-459-3082
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Fax | 787-799-5861
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MRS. YAIREEN ANNETTE REAL - OTERO
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Credential | E.M.T.
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Telephone | 787-459-3082
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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 | TC AMB 404
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License Number State | PR
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