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General NPI Number Information
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NPI Number | 1396108890
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Entity Type | Organization
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Legal Business Name | WEST COAST EMS, CORP
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Dates
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Enumeration Date | 04/01/2016
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Last Update Date | 04/01/2016
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Provider Practice Location Address
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Address Line | 230 CALLE RAMOS ANTONINI SUITE 1
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City | MAYAGUEZ
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State | PR
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Zip | 00680
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Country | US
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Telephone | 939-265-3629
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5103 PMB 305
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City | CABO ROJO
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State | PR
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Zip | 00623-5103
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Country | US
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Telephone | 787-254-0255
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MARITZA LOPEZ
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Credential |
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Telephone | 787-254-0255
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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 | TCAMB-736
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License Number State | PR
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