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General NPI Number Information
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NPI Number | 1689876716
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Entity Type | Organization
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Legal Business Name | AMPA COACH, INC.
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Dates
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Enumeration Date | 06/01/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 405 COUNTY ROUTE 22
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City | MIDDLETOWN
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State | NY
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Zip | 10940-8439
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Country | US
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Telephone | 845-355-3660
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Fax | 845-355-3661
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Provider Business Mailing Address
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Address Line | PO BOX 602
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City | JOHNSON
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State | NY
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Zip | 10933-0602
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Country | US
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Telephone | 845-355-3660
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Fax | 845-355-3661
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Authorized Official
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Title or Position | PRESIDENT
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Name | DANIEL B RHEIN
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Credential |
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Telephone | 845-355-3660
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number | 36463
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License Number State | NY
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