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General NPI Number Information
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NPI Number | 1689918385
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Entity Type | Organization
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Legal Business Name | ER AMBULANCE
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Dates
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Enumeration Date | 11/19/2012
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Last Update Date | 11/19/2012
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Provider Practice Location Address
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Address Line | 1365 N JOHNSON AVE
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City | EL CAJON
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State | CA
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Zip | 92020-1676
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Country | US
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Telephone | 619-401-9900
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Fax |
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Provider Business Mailing Address
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Address Line | 9640 MISSION GORGE RD # 338B
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City | SANTEE
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State | CA
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Zip | 92071-3854
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. RAFAEL SILVA
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Credential |
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Telephone | 619-792-6822
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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 | B2011026211
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License Number State | CA
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