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General NPI Number Information
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NPI Number | 1427730498
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Entity Type | Organization
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Legal Business Name | WEST LIFE AMBULANCE CORP
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Dates
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Enumeration Date | 08/01/2023
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Last Update Date | 08/01/2023
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Provider Practice Location Address
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Address Line | CARR 301 KM 0 HM 4 BO LAS ARENAS
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City | BOQUERON
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State | PR
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Zip | 00662
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Country | US
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Telephone | 787-619-1953
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Fax |
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Provider Business Mailing Address
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Address Line | URB ALEMANY CALLE ALEMANY 50
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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 | 787-619-1953
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | FRANKY MERCADO LEON
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Credential | EMT
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Telephone | 787-619-1953
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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 |
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License Number State |
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Taxonomy #2
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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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