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General NPI Number Information
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NPI Number | 1679884969
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Entity Type | Organization
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Legal Business Name | AMERI MEX AMBULANCE COMPANY LLC
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Dates
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Enumeration Date | 07/01/2010
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Last Update Date | 08/05/2010
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Provider Practice Location Address
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Address Line | 2179 BENNETT RD UNIT E
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City | PHILADELPHIA
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State | PA
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Zip | 19116-3021
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Country | US
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Telephone | 215-464-4411
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Fax | 215-464-1022
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Provider Business Mailing Address
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Address Line | 2179 BENNETT RD UNIT E
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City | PHILADELPHIA
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State | PA
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Zip | 19116-3021
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Country | US
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Telephone | 215-464-4411
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Fax | 215-464-1022
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. REYNALDA MAYOLA ROBERTSON
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Credential |
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Telephone | 215-881-5246
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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 | 191175
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License Number State | PA
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