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General NPI Number Information
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NPI Number | 1760631618
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Entity Type | Organization
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Legal Business Name | DIBIASSI CORP.
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Dates
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Enumeration Date | 09/16/2008
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Last Update Date | 08/25/2015
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Provider Practice Location Address
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Address Line | 5363 ALHAMBRA AVE
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City | LOS ANGELES
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State | CA
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Zip | 90032-3411
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Country | US
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Telephone | 888-214-5263
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Fax | 877-214-0066
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Provider Business Mailing Address
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Address Line | 5363 ALHAMBRA AVE
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City | LOS ANGELES
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State | CA
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Zip | 90032-3411
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Country | US
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Telephone | 888-214-5263
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Fax | 877-214-0066
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JOSE RAMON GARCIA
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Credential |
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Telephone | 323-967-1322
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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 | 1924-10218
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License Number State | CA
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