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General NPI Number Information
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NPI Number | 1457336364
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Entity Type | Organization
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Legal Business Name | ALL HEART MEDICAL TRANSPORT, INC.
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Dates
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Enumeration Date | 12/13/2005
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Last Update Date | 01/11/2008
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Provider Practice Location Address
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Address Line | 1621 NO DELAWARE AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19130-2544
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Country | US
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Telephone | 215-634-1414
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Fax | 215-634-1422
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Provider Business Mailing Address
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Address Line | PO BOX 3668
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City | PHILADELPHIA
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State | PA
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Zip | 19125-0668
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Country | US
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Telephone | 215-634-1414
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Fax | 215-634-1422
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. KEVIN CARR
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Credential |
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Telephone | 215-235-1314
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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 | 04235
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License Number State | PA
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