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General NPI Number Information
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NPI Number | 1902345143
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Entity Type | Organization
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Legal Business Name | ACTIVE AID SOLUTIONS, LLC
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Dates
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Enumeration Date | 02/21/2017
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Last Update Date | 01/16/2020
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Provider Practice Location Address
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Address Line | 268 S 11TH ST
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City | PHILADELPHIA
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State | PA
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Zip | 19107-6735
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Country | US
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Telephone | 267-991-0188
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Fax | 888-993-5099
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Provider Business Mailing Address
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Address Line | 268 S 11TH ST
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City | PHILADELPHIA
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State | PA
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Zip | 19107-6735
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Country | US
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Telephone | 267-991-0188
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Fax | 888-993-5099
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MS. IREN GOROSHOVSKY
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Credential |
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Telephone | 267-991-0188
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333300000X
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Taxonomy Name | Emergency Response System Companies
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License Number | 44984
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License Number State | PA
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