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General NPI Number Information
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NPI Number | 1245654169
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Entity Type | Organization
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Legal Business Name | A-MED AMBULANCE
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Dates
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Enumeration Date | 02/12/2014
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Last Update Date | 02/12/2014
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Provider Practice Location Address
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Address Line | 665A CATHERINE ST SUITE 1
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City | WARMINSTER
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State | PA
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Zip | 18974-2801
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Country | US
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Telephone | 267-991-6803
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Fax |
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Provider Business Mailing Address
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Address Line | 665A CATHERINE ST SUITE 1
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City | WARMINSTER
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State | PA
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Zip | 18974-2801
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Country | US
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Telephone |
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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. IGOR ZEYGERMISTER
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Credential |
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Telephone | 267-991-6803
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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 | 14005
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License Number State | PA
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