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General NPI Number Information
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NPI Number | 1659985554
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Entity Type | Organization
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Legal Business Name | TRANS-WEST AMBULANCE SERVICE LLC
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Dates
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Enumeration Date | 09/08/2020
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Last Update Date | 12/31/2020
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Provider Practice Location Address
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Address Line | 6110 STATE ROUTE 530 NE
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City | ARLINGTON
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State | WA
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Zip | 98223-8215
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Country | US
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Telephone | 425-220-9693
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Fax |
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Provider Business Mailing Address
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Address Line | 526 N WEST AVE # PMB112
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City | ARLINGTON
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State | WA
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Zip | 98223-1251
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Country | US
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Telephone | 425-220-9693
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JOHN SIMBECK
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Credential |
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Telephone | 425-220-9693
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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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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