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General NPI Number Information
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NPI Number | 1356067037
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Entity Type | Organization
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Legal Business Name | BROUGHAM AMBULANCE
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Dates
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Enumeration Date | 10/14/2022
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Last Update Date | 10/14/2022
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Provider Practice Location Address
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Address Line | 17430 CHATSWORTH ST UNIT 3
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City | GRANADA HILLS
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State | CA
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Zip | 91344-5717
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Country | US
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Telephone | 747-999-7545
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Fax |
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Provider Business Mailing Address
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Address Line | 17430 CHATSWORTH ST UNIT 3
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City | GRANADA HILLS
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State | CA
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Zip | 91344-5717
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Country | US
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Telephone | 747-999-7545
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Fax |
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | SARKIS ALEKSANYAN
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Credential |
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Telephone | 818-935-4142
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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 |
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License Number State |
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