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General NPI Number Information
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NPI Number | 1487719613
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Entity Type | Organization
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Legal Business Name | UNIVERSAL MEDICAL RESPONSE, INC.
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Dates
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Enumeration Date | 12/27/2006
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Last Update Date | 09/25/2013
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Provider Practice Location Address
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Address Line | 2860 HEDLEY ST SUITE 102
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City | PHILADELPHIA
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State | PA
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Zip | 19137-1919
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Country | US
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Telephone | 215-532-2335
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Fax | 215-532-2334
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Provider Business Mailing Address
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Address Line | PO BOX 1183
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City | SHARON HILL
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State | PA
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Zip | 19079-0883
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Country | US
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Telephone | 610-532-2335
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Fax | 610-532-2334
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ROMAN PRISTATSKY
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Credential |
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Telephone | 610-532-2335
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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 | 05191
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License Number State | PA
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