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General NPI Number Information
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NPI Number | 1881435584
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Entity Type | Organization
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Legal Business Name | MUSSA AMBULANCE LLC
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Dates
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Enumeration Date | 06/05/2024
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Last Update Date | 06/05/2024
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Provider Practice Location Address
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Address Line | CARR 779 KM 7.3
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City | COMERIO
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State | PR
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Zip | 00782
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Country | US
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Telephone | 787-383-6822
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Fax |
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Provider Business Mailing Address
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Address Line | HC 2 BOX 5370
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City | COMERIO
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State | PR
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Zip | 00782-9621
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Country | US
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Telephone | 787-383-6822
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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. DAVID DE JESUS
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Credential |
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Telephone | 787-383-6822
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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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