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General NPI Number Information
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NPI Number | 1629688197
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Entity Type | Organization
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Legal Business Name | SDMT AMBULANCE SERVICES, LLC
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Dates
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Enumeration Date | 08/08/2020
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Last Update Date | 08/08/2020
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Provider Practice Location Address
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Address Line | 3275 MARKET ST STE 203
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City | SAN DIEGO
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State | CA
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Zip | 92102-3345
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Country | US
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Telephone | 619-310-9399
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Fax | 619-310-9499
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Provider Business Mailing Address
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Address Line | 3275 MARKET ST STE 203
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City | SAN DIEGO
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State | CA
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Zip | 92102-3345
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Country | US
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Telephone | 619-310-9399
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Fax | 619-310-9499
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Authorized Official
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Title or Position | CEO
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Name | EFRAIN LAGUNAS
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Credential |
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Telephone | 619-484-9836
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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 |
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License Number State |
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