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General NPI Number Information
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NPI Number | 1730480682
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Entity Type | Organization
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Legal Business Name | STAT RESPONSE AMBULANCE, INC.
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Dates
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Enumeration Date | 11/09/2010
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Last Update Date | 11/09/2010
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Provider Practice Location Address
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Address Line | 4750 YORK BLVD.
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City | LOS ANGELES
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State | CA
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Zip | 90042
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Country | US
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Telephone | 323-747-0057
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Fax | 714-996-2135
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Provider Business Mailing Address
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Address Line | 4750 YORK BLVD.
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City | LOS ANGELES
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State | CA
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Zip | 90042
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Country | US
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Telephone | 323-747-0057
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Fax | 714-996-2135
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Authorized Official
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Title or Position | PRESIDENT, CEO
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Name | MR. ALEX PUNZALAN ALINO
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Credential |
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Telephone | 714-600-4915
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343800000X
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Taxonomy Name | Secured Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #3
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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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