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General NPI Number Information
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NPI Number | 1447963228
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Entity Type | Organization
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Legal Business Name | EAST COAST AMBULANCE LLC
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Dates
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Enumeration Date | 12/27/2022
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Last Update Date | 12/27/2022
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Provider Practice Location Address
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Address Line | 233 SHORE LN
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City | INDIAN HARBOUR BEACH
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State | FL
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Zip | 32937-4220
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Country | US
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Telephone | 401-255-3257
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Fax |
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Provider Business Mailing Address
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Address Line | 5 LADY SLIPPER LN
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City | MARION
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State | MA
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Zip | 02738-1293
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Country | US
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Telephone | 401-255-3257
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. ANDREW PAPPAS
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Credential |
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Telephone | 401-255-3257
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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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