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General NPI Number Information
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NPI Number | 1730479494
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Entity Type | Organization
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Legal Business Name | UNIVERSAL AMBULANCE INC.
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Dates
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Enumeration Date | 04/14/2011
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Last Update Date | 05/27/2011
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Provider Practice Location Address
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Address Line | 2780 BRISTOL PIKE SUITE 22
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City | BENSALEM
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State | PA
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Zip | 19020-5365
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Country | US
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Telephone | 267-767-8821
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Fax | 215-552-9209
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Provider Business Mailing Address
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Address Line | 2780 BRISTOL PIKE SUITE 22
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City | BENSALEM
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State | PA
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Zip | 19020-5365
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Country | US
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Telephone | 267-767-8821
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Fax | 215-552-9209
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ANTON COLEMAN
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Credential |
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Telephone | 267-767-8821
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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 | 11018
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License Number State | PA
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