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General NPI Number Information
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NPI Number | 1801884507
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Entity Type | Organization
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Legal Business Name | EAST COAST AMBULANCE SERVICE LLC
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Dates
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Enumeration Date | 10/07/2005
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Last Update Date | 09/25/2015
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Provider Practice Location Address
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Address Line | 9505 HARFORD RD
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City | BALTIMORE
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State | MD
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Zip | 21234-3112
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Country | US
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Telephone | 410-663-2012
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Fax | 410-663-2015
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Provider Business Mailing Address
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Address Line | 9505 HARFORD RD
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City | BALTIMORE
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State | MD
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Zip | 21234-3112
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Country | US
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Telephone | 410-663-2012
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Fax | 410-663-2015
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Authorized Official
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Title or Position | AUTHORIZED MEMBER
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Name | MR. MICHAEL JOSEPH ROSELLINI
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Credential |
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Telephone | 410-663-2012
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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 | 000082
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License Number State | MD
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