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NPI 1396104428

NPI 1396104428 : ALTERNATIVE CARE EMS INC. : BAYAMON, PR

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General NPI Number Information
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    NPI Number           |    1396104428
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    Entity Type          |    Organization 
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    Legal Business Name  |    ALTERNATIVE CARE EMS INC. 
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Dates
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    Enumeration Date     |    02/17/2016
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    Last Update Date     |    02/17/2016
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Provider Practice Location Address
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    Address Line         |    F48 CALLE 17 URB BAYAMON GARDEN
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    City                 |    BAYAMON
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    State                |    PR
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    Zip                  |    00957
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    Country              |    US
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    Telephone            |    787-981-6669
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    F48 CALLE 17 URB BAYAMON GARDEN
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    City                 |    BAYAMON
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    State                |    PR
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    Zip                  |    00957
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    Country              |    US
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    Telephone            |    787-981-6669
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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. JOSE T RODRIGUEZ 
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    Credential           |    
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    Telephone            |    787-981-6669
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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       |    TC-AMB-734
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    License Number State |    PR
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