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General NPI Number Information
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NPI Number | 1194958777
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Entity Type | Organization
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Legal Business Name | LEADER AMBULANCE, INC
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Dates
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Enumeration Date | 08/28/2009
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Last Update Date | 06/06/2024
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Provider Practice Location Address
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Address Line | 73 TRACEY RD STE A
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City | HUNTINGDON VALLEY
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State | PA
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Zip | 19006-4269
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Country | US
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Telephone | 215-939-5151
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Fax |
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Provider Business Mailing Address
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Address Line | 10843 LOCKART RD
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City | PHILADELPHIA
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State | PA
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Zip | 19116
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Country | US
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Telephone | 215-939-5151
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | YAROSLAV M ZUBACH
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Credential |
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Telephone | 215-939-5151
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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 |
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License Number State | PA
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