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General NPI Number Information
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NPI Number | 1629210745
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Entity Type | Organization
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Legal Business Name | PROFESSIONAL HEALTHCARE AMBULANCE SERVICES, INC.
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Dates
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Enumeration Date | 04/03/2009
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Last Update Date | 04/03/2009
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Provider Practice Location Address
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Address Line | HC 2 BOX 5871 CARR. 411 BO. CALVACHE
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City | RINCON
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State | PR
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Zip | 00677-9533
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Country | US
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Telephone | 787-242-6871
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Fax |
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Provider Business Mailing Address
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Address Line | HC 2 BOX 5871
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City | RINCON
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State | PR
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Zip | 00677-9533
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Country | US
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Telephone | 787-242-6871
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MISS GISMARY MORENO RUIZ
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Credential |
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Telephone | 787-242-6871
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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 | 4448341
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License Number State | PR
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