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General NPI Number Information
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NPI Number | 1871527887
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Entity Type | Organization
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Legal Business Name | MEDIC AMBULANCE SERVICE INC
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 08/21/2019
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Provider Practice Location Address
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Address Line | 506 COUCH ST
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City | VALLEJO
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State | CA
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Zip | 94590
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Country | US
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Telephone | 707-644-1771
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Fax | 707-644-1784
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Provider Business Mailing Address
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Address Line | 1001 TEXAS ST STE C
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City | FAIRFIELD
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State | CA
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Zip | 94533-5723
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Country | US
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Telephone | 916-564-9040
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Fax | 916-564-9095
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Authorized Official
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Title or Position | CFO
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Name | MRS. HELEN FRANCES PIERSON
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Credential |
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Telephone | 916-564-9040
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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 | CA
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