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General NPI Number Information
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NPI Number | 1407616592
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Entity Type | Organization
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Legal Business Name | STAR OF STEEL AMBULANCE LLC
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Dates
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Enumeration Date | 03/19/2024
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Last Update Date | 03/19/2024
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Provider Practice Location Address
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Address Line | BARRIO TEJAS 1 KM 1.8
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City | LAS PIEDRAS
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State | PR
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Zip | 00771
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Country | US
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Telephone | 787-240-9571
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2017
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City | LAS PIEDRAS
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State | PR
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Zip | 00771-2017
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Country | US
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Telephone | 787-240-9571
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | KENNETH SANTIAGO
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Credential |
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Telephone | 787-240-9571
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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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