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General NPI Number Information
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NPI Number | 1366582223
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Entity Type | Organization
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Legal Business Name | MONTEREY COUNTY AMBULANCE SERVICE
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Dates
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Enumeration Date | 02/07/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 77 MIDDLE CANYON RD
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City | CARMEL VALLEY
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State | CA
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Zip | 93924-9461
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Country | US
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Telephone | 831-659-1883
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Fax | 831-659-1883
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Provider Business Mailing Address
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Address Line | 77 MIDDLE CANYON RD
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City | CARMEL VALLEY
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State | CA
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Zip | 93924-9461
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Country | US
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Telephone | 831-659-1883
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Fax | 831-659-1883
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Authorized Official
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Title or Position | PRESIDENT AND EXECUTIVE DIRECTOR
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Name | MR. MARK C ANGEL
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Credential | EMT
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Telephone | 831-659-1883
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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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