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General NPI Number Information
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NPI Number | 1336552215
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Entity Type | Organization
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Legal Business Name | DYNAMIC AMBULANCE SERVICES INC
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Dates
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Enumeration Date | 06/09/2014
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Last Update Date | 05/26/2016
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Provider Practice Location Address
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Address Line | 6523 CARR 2 # KM100.1 BO SAN JOSE
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City | QUEBRADILLAS
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State | PR
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Zip | 00678-2882
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Country | US
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Telephone | 787-327-2955
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 144035 PMB 182
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City | ARECIBO
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State | PR
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Zip | 00614-4035
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Country | US
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Telephone | 787-327-2955
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Fax | 787-551-7104
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Authorized Official
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Title or Position | PRESIDENTE
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Name | MR. JESUS M MALDONADO RODRIGUEZ
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Credential |
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Telephone | 787-327-2955
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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 | TCAMB718
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License Number State | PR
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