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General NPI Number Information
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NPI Number | 1831845247
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Entity Type | Organization
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Legal Business Name | CRITICO AMBULANCE LLC
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Dates
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Enumeration Date | 02/24/2022
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Last Update Date | 02/24/2022
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Provider Practice Location Address
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Address Line | 1000 PINER RD STE B
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City | SANTA ROSA
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State | CA
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Zip | 95403-1963
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Country | US
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Telephone | 707-478-6534
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 PINER RD STE B
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City | SANTA ROSA
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State | CA
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Zip | 95403-1963
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Country | US
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Telephone | 707-478-6534
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JOSEPH MULINDWA
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Credential |
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Telephone | 707-478-6534
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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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