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General NPI Number Information
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NPI Number | 1730867896
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Entity Type | Organization
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Legal Business Name | PELICAN AMBULANCE LLC
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Dates
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Enumeration Date | 07/10/2023
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Last Update Date | 01/31/2025
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Provider Practice Location Address
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Address Line | 4323 DIVISION ST STE 100
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City | METAIRIE
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State | LA
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Zip | 70002-3179
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Country | US
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Telephone | 504-603-6934
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Fax |
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Provider Business Mailing Address
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Address Line | 4323 DIVISION ST STE 100
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City | METAIRIE
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State | LA
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Zip | 70002-3179
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Country | US
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Telephone | 504-603-6934
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. TIFFANY ANN BRINSTON
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Credential |
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Telephone | 504-603-6934
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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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