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General NPI Number Information
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NPI Number | 1619293305
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Entity Type | Organization
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Legal Business Name | HYE MEDICAL LLC
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Dates
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Enumeration Date | 04/20/2010
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Last Update Date | 04/20/2010
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Provider Practice Location Address
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Address Line | 2903 FRANKS RD
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City | HUNTINGDON VALLEY
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State | PA
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Zip | 19006-4214
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Country | US
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Telephone | 267-934-2291
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 11550
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City | PHILADELPHIA
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State | PA
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Zip | 19116-0550
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Country | US
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Telephone | 267-934-2291
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ULVI TOFIK MAMEDOV
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Credential |
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Telephone | 267-934-2291
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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 | 10007
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License Number State | PA
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