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General NPI Number Information
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NPI Number | 1326021502
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Entity Type | Organization
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Legal Business Name | AMBER AMBULANCE INC
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Dates
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Enumeration Date | 11/22/2005
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Last Update Date | 06/21/2013
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Provider Practice Location Address
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Address Line | 2215 AMBER RD
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City | MARIETTA
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State | NY
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Zip | 13110-3103
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Country | US
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Telephone | 315-636-8283
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 535
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City | BALDWINSVILLE
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State | NY
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Zip | 13027-0535
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Country | US
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Telephone | 315-635-1789
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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. DOUGLAS LAFRANCE
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Credential |
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Telephone | 315-636-7745
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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 | 09848
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License Number State | NY
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