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General NPI Number Information
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NPI Number | 1477738755
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Entity Type | Organization
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Legal Business Name | MED-LIFE AMBULANCE SERVICES,INC.
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Dates
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Enumeration Date | 01/04/2008
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Last Update Date | 03/18/2008
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Provider Practice Location Address
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Address Line | 5304 SAN FERNANDO RD
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City | GLENDALE
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State | CA
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Zip | 91203-2407
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Country | US
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Telephone | 818-500-0044
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Fax | 818-500-9992
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Provider Business Mailing Address
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Address Line | PO BOX 4525
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City | GLENDALE
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State | CA
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Zip | 91222-0525
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Country | US
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Telephone | 818-500-0044
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Fax | 818-500-9992
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. SHAKE SEYSYAN
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Credential |
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Telephone | 818-500-0044
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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 | CA
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Taxonomy #2
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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 | CA
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