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General NPI Number Information
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NPI Number | 1861495178
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Entity Type | Organization
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Legal Business Name | ANGELS AMBULANCE INC.
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Dates
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Enumeration Date | 05/31/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 59 TOSCA DR
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City | STOUGHTON
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State | MA
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Zip | 02072-1501
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Country | US
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Telephone | 781-871-3310
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Fax | 781-371-3930
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Provider Business Mailing Address
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Address Line | 536 WASHINGTON ST
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City | ABINGTON
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State | MA
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Zip | 02351-2424
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Country | US
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Telephone | 781-871-3310
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Fax | 781-371-3930
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | DR. MAZEN ENEYNI
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Credential |
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Telephone | 781-871-3310
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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 | 3065
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License Number State | MA
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