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General NPI Number Information
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NPI Number | 1285724047
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Entity Type | Organization
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Legal Business Name | AMERICAN AMBULANCE COMPANY
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Dates
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Enumeration Date | 10/13/2006
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Last Update Date | 10/23/2007
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Provider Practice Location Address
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Address Line | 1050 TRUMBULL ST
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City | DETROIT
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State | MI
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Zip | 48216-1939
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Country | US
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Telephone | 313-961-0876
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Fax |
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Provider Business Mailing Address
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Address Line | 1050 TRUMBULL ST
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City | DETROIT
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State | MI
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Zip | 48216-1939
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Country | US
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Telephone | 313-961-0876
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Fax |
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Authorized Official
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Title or Position | BILLING CLERK
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Name | MRS. IRENDA ILENE LOCKHART
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Credential |
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Telephone | 313-961-0876
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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 | 821002
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License Number State | MI
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