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General NPI Number Information
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NPI Number | 1851619555
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Entity Type | Organization
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Legal Business Name | SOUTHWEST AMBULANCE TRANSPORTATION
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Dates
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Enumeration Date | 05/06/2010
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Last Update Date | 11/11/2010
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Provider Practice Location Address
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Address Line | CARR 102 KM 23.3
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City | CABO ROJO
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State | PUERTO RICO
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Zip | 00623
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Country | UM
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Telephone | 787-394-3297
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 266
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City | CABO ROJO
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State | PUERTO RICO
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Zip | 00623
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Country | UM
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Telephone | 787-394-3297
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Fax |
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Authorized Official
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Title or Position | PROPIETARIE
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Name | MRS. JESICA MARIE SANTANA
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Credential | PARAMEDIC
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Telephone | 787-394-3297
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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 |
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License Number State |
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