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General NPI Number Information
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NPI Number | 1649620618
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Entity Type | Organization
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Legal Business Name | AMBIENT CARE EXPRESS
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Dates
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Enumeration Date | 06/20/2016
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Last Update Date | 06/20/2016
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Provider Practice Location Address
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Address Line | 31010 THORNTON BLVD UNIT 2
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City | DELMAR
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State | DE
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Zip | 19940-3599
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Country | US
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Telephone | 302-629-3099
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Fax | 302-629-6059
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Provider Business Mailing Address
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Address Line | 31010 THORNTON BLVD UNIT 2
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City | DELMAR
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State | DE
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Zip | 19940-3599
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Country | US
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Telephone | 302-629-3099
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Fax |
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | ROBERT HENRY
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Credential |
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Telephone | 302-629-3099
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number | 2016603685
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License Number State | DE
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