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General NPI Number Information
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NPI Number | 1841575628
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Entity Type | Organization
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Legal Business Name | VIP AMBULANCE
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Dates
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Enumeration Date | 10/12/2011
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Last Update Date | 10/12/2011
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Provider Practice Location Address
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Address Line | 220 GEIGER RD SUITE #201
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City | PHILADELPHIA
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State | PA
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Zip | 19115-1030
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Country | US
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Telephone | 267-731-6091
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Fax |
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Provider Business Mailing Address
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Address Line | 220 GEIGER RD SUITE #201
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City | PHILADELPHIA
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State | PA
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Zip | 19115-1030
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Country | US
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Telephone | 267-731-6091
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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. BASSEM KURAN
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Credential | FIRST RESPONDER
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Telephone | 267-731-6091
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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 | 51028
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License Number State | PA
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