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General NPI Number Information
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NPI Number | 1447549423
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Entity Type | Organization
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Legal Business Name | MEDICAL ESSCORT, INC.
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Dates
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Enumeration Date | 03/30/2011
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Last Update Date | 03/30/2011
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Provider Practice Location Address
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Address Line | 220 GEIGER RD SUITE 204
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City | PHILADELPHIA
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State | PA
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Zip | 19115-1030
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Country | US
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Telephone | 215-677-2000
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Fax | 215-677-2000
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Provider Business Mailing Address
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Address Line | 220 GEIGER RD SUITE 204
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City | PHILADELPHIA
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State | PA
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Zip | 19115-1030
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Country | US
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Telephone | 215-677-2000
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Fax | 215-677-2000
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ZURAB GAMBASHIDZE
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Credential | FIRST RESPONDER
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Telephone | 215-677-2000
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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 | 11013
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License Number State | PA
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