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NPI 1598334120

NPI 1598334120 : ACTION CARE AMBULANCE, INC : CENTENNIAL, CO

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General NPI Number Information
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    NPI Number           |    1598334120
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    Entity Type          |    Organization 
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    Legal Business Name  |    ACTION CARE AMBULANCE, INC 
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Dates
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    Enumeration Date     |    06/18/2021
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    Last Update Date     |    06/18/2021
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Provider Practice Location Address
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    Address Line         |    14854 E HINSDALE AVE STE H 
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    City                 |    CENTENNIAL
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    State                |    CO
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    Zip                  |    80112-4239
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    Country              |    US
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    Telephone            |    720-870-4705
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    Fax                  |    720-870-4710
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Provider Business Mailing Address
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    Address Line         |    14854 E HINSDALE AVE STE H 
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    City                 |    CENTENNIAL
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    State                |    CO
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    Zip                  |    80112-4239
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    Country              |    US
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    Telephone            |    720-870-4705
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    Fax                  |    720-870-4710
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Authorized Official
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    Title or Position    |    COO
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    Name                 |     SONJA  BECK 
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    Credential           |    
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    Telephone            |    720-870-4705
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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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