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General NPI Number Information
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NPI Number | 1710975131
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Entity Type | Organization
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Legal Business Name | B M PROFESSIONAL CARE AMBULANCE
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Dates
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Enumeration Date | 10/10/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | CARRETERA 848KM 2.8 SAINT JUST
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City | CAROLINA
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State | PR
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Zip | 00987
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Country | US
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Telephone | 787-276-6565
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Fax | 787-701-1728
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Provider Business Mailing Address
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Address Line | PO BOX 6017 PMB 596
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City | CAROLINA
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State | PR
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Zip | 00984-6017
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Country | US
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Telephone | 787-276-6565
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Fax | 787-701-1728
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Authorized Official
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Title or Position | PRESIDENTA
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Name | BRENDA MALDONADO GARCIA
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Credential |
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Telephone | 787-276-6565
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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