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General NPI Number Information
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NPI Number | 1205695319
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Entity Type | Organization
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Legal Business Name | STAR TECH AMBULANCE INC
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Dates
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Enumeration Date | 03/19/2024
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Last Update Date | 04/15/2024
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Provider Practice Location Address
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Address Line | 380 RED LION RD STE 226
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City | HUNTINGDON VALLEY
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State | PA
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Zip | 19006-6453
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Country | US
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Telephone | 267-890-4555
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Fax | 215-464-1628
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Provider Business Mailing Address
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Address Line | 380 RED LION RD STE 226
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City | HUNTINGDON VALLEY
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State | PA
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Zip | 19006-6453
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Country | US
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Telephone | 267-890-4555
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Fax | 215-464-1628
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Authorized Official
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Title or Position | PRESIDENT
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Name | DMITRY BOICHENKO
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Credential |
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Telephone | 267-890-4555
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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 |
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