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General NPI Number Information
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NPI Number | 1518091529
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Entity Type | Organization
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Legal Business Name | GOLDEN HOUR AMBULANCE INC.
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Dates
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Enumeration Date | 03/15/2007
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Last Update Date | 10/06/2010
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Provider Practice Location Address
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Address Line | 2179 BENNETT RD UNIT D
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City | PHILADELPHIA
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State | PA
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Zip | 19116
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Country | US
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Telephone | 215-464-7775
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Fax | 215-464-7777
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Provider Business Mailing Address
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Address Line | P.O. BOX 6131
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City | PHILADELPHIA
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State | PA
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Zip | 19115
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Country | US
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Telephone | 215-464-7775
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Fax | 215-464-7777
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Authorized Official
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Title or Position | OWNER
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Name | OLGA LOMOVA
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Credential |
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Telephone | 215-464-7775
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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 | 383380
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 07005
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 07005
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License Number State | PA
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