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General NPI Number Information
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NPI Number | 1801879887
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Entity Type | Organization
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Legal Business Name | NORTHGLENN AMBULANCE, INC.
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Dates
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Enumeration Date | 11/23/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 10655 WASHINGTON ST
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City | NORTHGLENN
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State | CO
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Zip | 80233-4101
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Country | US
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Telephone | 303-451-6882
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Fax | 303-255-9953
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Provider Business Mailing Address
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Address Line | PO BOX 33498
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City | NORTHGLENN
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State | CO
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Zip | 80233-0498
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Country | US
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Telephone | 303-451-6882
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Fax | 303-255-9953
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. RICK RAY LINDSEY
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Credential |
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Telephone | 303-451-6882
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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 | ADCO0605
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License Number State | CO
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