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General NPI Number Information
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NPI Number | 1508939943
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Entity Type | Organization
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Legal Business Name | KMA EMERGENCY SERVICES, INC.
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Dates
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Enumeration Date | 11/15/2006
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Last Update Date | 01/10/2018
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Provider Practice Location Address
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Address Line | 14275 WICKS BLVD
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City | SAN LEANDRO
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State | CA
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Zip | 94577-5613
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Country | US
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Telephone | 510-614-1420
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Fax | 510-614-1429
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Provider Business Mailing Address
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Address Line | 3972 BARRANCA PKWY SUITE J430
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City | IRVINE
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State | CA
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Zip | 92606-8656
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Country | US
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Telephone | 510-614-1420
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Fax | 510-614-1429
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Authorized Official
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Title or Position | OWNER
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Name | MR. ERIK MANDLER
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Credential |
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Telephone | 949-981-0299
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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 | A145
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License Number State | CA
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