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General NPI Number Information
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NPI Number | 1821215484
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Entity Type | Organization
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Legal Business Name | AMERICAN LIFE AMBULANCE, LLC
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Dates
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Enumeration Date | 04/18/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5213 WINDWARD LN
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City | BENSALEM
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State | PA
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Zip | 19020-4061
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Country | US
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Telephone | 215-639-2924
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Fax |
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Provider Business Mailing Address
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Address Line | 5213 WINDWARD LN
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City | BENSALEM
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State | PA
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Zip | 19020-4061
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Country | US
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Telephone | 215-639-2924
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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. MICHAEL J BURNS
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Credential | EMT
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Telephone | 215-639-2924
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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 | 07008
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License Number State | PA
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