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General NPI Number Information
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NPI Number | 1225305626
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Entity Type | Organization
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Legal Business Name | FRONTLINE MEDICS, LLC
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Dates
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Enumeration Date | 11/30/2011
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Last Update Date | 11/30/2011
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Provider Practice Location Address
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Address Line | 10583 COTTONWOOD AVE
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City | HESPERIA
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State | CA
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Zip | 92345-2400
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Country | US
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Telephone | 760-948-7775
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Fax |
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Provider Business Mailing Address
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Address Line | 17100B BEAR VALLEY RD # 405
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City | VICTORVILLE
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State | CA
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Zip | 92395-5851
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Country | US
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Telephone | 760-948-7775
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. STEVEN KELLY WELSER JR.
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Credential | NREMT
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Telephone | 760-948-7775
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number |
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License Number State |
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