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General NPI Number Information
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NPI Number | 1760403828
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Entity Type | Organization
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Legal Business Name | ALPHA AMBULANCE INC.
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Dates
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Enumeration Date | 07/22/2006
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Last Update Date | 12/06/2012
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Provider Practice Location Address
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Address Line | 1720 AVE EDUARDO CONDE
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City | SANTURCE
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State | PR
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Zip | 00912-3917
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Country | US
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Telephone | 787-726-8482
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 19313
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City | SAN JUAN
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State | PR
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Zip | 00910-1313
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Country | US
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Telephone | 787-728-2610
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Fax |
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Authorized Official
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Title or Position | PRESIDENTA
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Name | WENDY ELENA GUZMAN
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Credential |
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Telephone | 787-728-2610
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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 | TCAMB156
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License Number State | PR
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