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General NPI Number Information
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NPI Number | 1568275188
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Entity Type | Organization
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Legal Business Name | BRILLIANT AMBULANCE INC
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Dates
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Enumeration Date | 01/28/2025
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Last Update Date | 01/28/2025
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Provider Practice Location Address
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Address Line | 900 W GLENOAKS BLVD STE A
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City | GLENDALE
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State | CA
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Zip | 91202-2664
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Country | US
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Telephone | 818-373-9393
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Fax |
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Provider Business Mailing Address
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Address Line | 900 W GLENOAKS BLVD STE A
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City | GLENDALE
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State | CA
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Zip | 91202-2664
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Country | US
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Telephone | 818-373-9393
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Fax |
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Authorized Official
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Title or Position | OPERATION MANAGER
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Name | ALEN BABAKHANIANS
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Credential |
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Telephone | 818-373-9393
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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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