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General NPI Number Information
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NPI Number | 1508125139
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Entity Type | Organization
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Legal Business Name | DELCO AMBULANCE LLC
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Dates
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Enumeration Date | 05/16/2012
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Last Update Date | 05/16/2012
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Provider Practice Location Address
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Address Line | 3415 WEST CHESTER PIKE SUITE 104
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City | NEWTOWN SQUARE
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State | PA
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Zip | 19073-4209
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Country | US
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Telephone | 610-353-0900
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Fax |
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Provider Business Mailing Address
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Address Line | 3415 WEST CHESTER PIKE SUITE 104
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City | NEWTOWN SQUARE
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State | PA
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Zip | 19073-4209
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Country | US
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Telephone | 610-353-0900
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Fax |
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Authorized Official
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Title or Position | OWNER/VICE PRESIDENT
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Name | KARLEN GHAZARYAN
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Credential |
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Telephone | 484-410-1474
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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 |
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License Number State |
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