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General NPI Number Information
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NPI Number | 1538316237
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Entity Type | Organization
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Legal Business Name | ARK AMBULANCE SERVICE, INC.
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Dates
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Enumeration Date | 08/25/2008
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Last Update Date | 08/25/2008
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Provider Practice Location Address
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Address Line | CARR #2 KM 68.8 BO. SANTANA
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City | ARECIBO
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State | PR
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Zip | 00612-8820
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Country | US
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Telephone | 787-608-0011
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Fax | 787-262-7705
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Provider Business Mailing Address
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Address Line | PO BOX 8901 PMB 052
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City | HATILLO
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State | PR
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Zip | 00659-9141
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Country | US
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Telephone | 787-608-0011
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Fax | 787-262-7705
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. WALDEMAR BONILLA
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Credential |
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Telephone | 787-608-0011
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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 | 177520
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License Number State | PR
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