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General NPI Number Information
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NPI Number | 1417381609
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Entity Type | Organization
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Legal Business Name | ABLE AMBULANCE INC.
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Dates
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Enumeration Date | 08/25/2013
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Last Update Date | 09/06/2013
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Provider Practice Location Address
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Address Line | 1017 HALDEMAN AVE.
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City | PHILADELPHIA
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State | PA
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Zip | 19116
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Country | US
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Telephone | 215-533-1919
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Fax | 215-533-1997
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Provider Business Mailing Address
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Address Line | 1604 MARGARET ST
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City | PHILADELPHIA
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State | PA
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Zip | 19124-2712
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Country | US
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Telephone | 215-533-1919
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Fax | 215-533-1997
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. YASER MASSO
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Credential |
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Telephone | 215-533-4114
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 13017
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License Number State | PA
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