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General NPI Number Information
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NPI Number | 1740577600
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Entity Type | Organization
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Legal Business Name | UNI-MED LLC
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Dates
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Enumeration Date | 06/29/2011
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Last Update Date | 08/21/2014
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Provider Practice Location Address
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Address Line | 667 MARY ST
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City | WARMINSTER
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State | PA
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Zip | 18974-2803
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Country | US
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Telephone | 215-443-9111
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 262
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City | FOUNTAINVILLE
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State | PA
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Zip | 18923-0262
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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 | MR. IGOR KUPRIYAN
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Credential |
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Telephone | 215-443-9111
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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 | 11034
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License Number State | PA
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