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General NPI Number Information
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NPI Number | 1720388176
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Entity Type | Organization
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Legal Business Name | INTERNATIONAL AMBULANCE, INC.
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Dates
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Enumeration Date | 11/01/2010
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Last Update Date | 11/01/2010
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Provider Practice Location Address
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Address Line | 3103 PHILMONT AVE
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City | HUNTINGDON VALLEY
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State | PA
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Zip | 19006-4263
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Country | US
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Telephone | 215-344-8087
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Fax | 215-344-8320
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Provider Business Mailing Address
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Address Line | 3103 PHILMONT AVE
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City | HUNTINGDON VALLEY
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State | PA
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Zip | 19006-4263
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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 | GEORGIY KHACHATURYAN
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Credential |
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Telephone | 215-847-0127
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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 |
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License Number State |
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