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General NPI Number Information
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NPI Number | 1457582207
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Entity Type | Organization
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Legal Business Name | SAFE LIFE AMBULANCE, INC.
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Dates
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Enumeration Date | 07/28/2009
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Last Update Date | 07/28/2009
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Provider Practice Location Address
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Address Line | CARR. 392 KM 1.4 BO. CERRO ALTO
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City | LAJAS
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State | PR
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Zip | 00667-9616
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Country | US
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Telephone | 787-951-0858
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Fax |
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Provider Business Mailing Address
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Address Line | HC 3 BOX 15617
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City | LAJAS
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State | PR
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Zip | 00667-9616
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENTE
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Name | AMAURY MARTINEZ
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Credential |
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Telephone | 787-951-0858
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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 | 1509 P
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License Number State | PR
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