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General NPI Number Information
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NPI Number | 1679719611
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Entity Type | Organization
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Legal Business Name | TRANSMED AMBULANCE SERVICE CORP
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Dates
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Enumeration Date | 12/22/2008
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Last Update Date | 12/22/2008
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Provider Practice Location Address
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Address Line | PMB # 26 BOX 9117
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City | BAYAMON
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State | PR
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Zip | 00960-0000
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Country | US
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Telephone | 787-444-8270
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Fax | 787-279-4900
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Provider Business Mailing Address
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Address Line | PO BOX 9117 PMB # 26
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City | BAYAMON
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State | PR
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Zip | 00960-9117
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Country | US
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Telephone | 787-444-8270
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Fax | 787-279-4900
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. JUAN E GONZALEZ
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Credential |
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Telephone | 787-444-8270
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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 | TC-AMB-562
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License Number State | PR
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