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General NPI Number Information
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NPI Number | 1790010023
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Entity Type | Organization
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Legal Business Name | MERCY AMBULANCE SERVICE, INC
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Dates
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Enumeration Date | 10/05/2009
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Last Update Date | 10/19/2011
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Provider Practice Location Address
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Address Line | 7700 IMPERIAL HWY SUITE D
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City | DOWNEY
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State | CA
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Zip | 90242-3469
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Country | US
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Telephone | 626-536-7963
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 743
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City | DOWNEY
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State | CA
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Zip | 90241-0743
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Country | US
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Telephone | 855-956-3342
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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. CRAIG E ESTERLY
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Credential |
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Telephone | 855-956-3342
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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 |
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License Number State |
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