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General NPI Number Information
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NPI Number | 1750611943
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Entity Type | Organization
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Legal Business Name | PROVIDERS CHOICE AMBULANCE SERVICE INC.
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Dates
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Enumeration Date | 01/11/2010
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Last Update Date | 04/30/2010
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Provider Practice Location Address
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Address Line | 8601 TORRESDALE AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19136-1500
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Country | US
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Telephone | 215-335-3500
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Fax |
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Provider Business Mailing Address
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Address Line | 8601 TORRESDALE AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19136-1500
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Country | US
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Telephone | 215-335-3500
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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. GARY DUBIN
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Credential |
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Telephone | 215-335-3500
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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 | 5105711
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License Number State | PA
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