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General NPI Number Information
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NPI Number | 1417975236
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Entity Type | Organization
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Legal Business Name | MEDIX AMBULANCE SERVICE, INC
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Dates
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Enumeration Date | 07/18/2006
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Last Update Date | 11/20/2012
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Provider Practice Location Address
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Address Line | 26021 PALA
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City | MISSION VIEJO
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State | CA
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Zip | 92691-2705
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Country | US
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Telephone | 949-470-8921
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Fax |
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Provider Business Mailing Address
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Address Line | 26021 PALA
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City | MISSION VIEJO
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State | CA
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Zip | 92691-2705
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Country | US
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Telephone | 949-470-8921
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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. MICHAEL DIMAS
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Credential |
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Telephone | 949-470-8921
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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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