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General NPI Number Information
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NPI Number | 1487734349
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Entity Type | Organization
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Legal Business Name | PRIORITY ONE MEDICAL TRANSPORT, INC.
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Dates
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Enumeration Date | 10/16/2006
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Last Update Date | 02/18/2014
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Provider Practice Location Address
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Address Line | 9327 FAIRWAY VIEW PL SUITE 300
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-0968
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Country | US
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Telephone | 800-600-3350
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Fax | 909-948-4492
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Provider Business Mailing Address
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Address Line | 9327 FAIRWAY VIEW PL SUITE 300
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-0968
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Country | US
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Telephone | 800-600-3350
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Fax | 909-948-4492
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MRS. PAMELA SUZANNE WILLIAMS
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Credential |
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Telephone | 800-600-3350
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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 | A136
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License Number State | CA
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