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General NPI Number Information
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NPI Number | 1255618625
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Entity Type | Organization
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Legal Business Name | B 4 LIFE AMBULANCE INC
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Dates
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Enumeration Date | 11/13/2011
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Last Update Date | 11/13/2011
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Provider Practice Location Address
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Address Line | 842 RED LION RD STE 21
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City | PHILADELPHIA
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State | PA
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Zip | 19115-1475
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Country | US
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Telephone | 267-738-0163
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Fax | 215-271-2292
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Provider Business Mailing Address
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Address Line | 842 RED LION RD STE 21
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City | PHILADELPHIA
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State | PA
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Zip | 19115-1475
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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 | CO-OWNER
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Name | SOKLA SEM
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Credential |
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Telephone | 267-738-0163
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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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