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General NPI Number Information
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NPI Number | 1851112866
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Entity Type | Organization
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Legal Business Name | YOUR LIFE AMB ,LLC
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Dates
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Enumeration Date | 10/22/2024
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Last Update Date | 10/24/2024
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Provider Practice Location Address
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Address Line | EXT. EL COMANDANTE CALLE VIOLETA #35
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City | CAROLINA
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State | PR
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Zip | 00982
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Country | US
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Telephone | 787-909-2564
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1213
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City | RIO GRANDE
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State | PR
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Zip | 00745-1213
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Country | US
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Telephone | 787-909-2564
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. SUILVETH Y. SANTIAGO
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Credential |
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Telephone | 787-909-2564
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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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