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General NPI Number Information
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NPI Number | 1922676295
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Entity Type | Organization
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Legal Business Name | PRO LIFE EMERGENCY TRANSPORT LLC
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Dates
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Enumeration Date | 06/14/2021
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Last Update Date | 07/02/2021
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Provider Practice Location Address
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Address Line | 23 CARR 102
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City | CABO ROJO
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State | PR
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Zip | 00623-3613
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Country | US
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Telephone | 787-688-3900
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Fax | 787-255-9445
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Provider Business Mailing Address
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Address Line | PO BOX 5103
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City | CABO ROJO
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State | PR
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Zip | 00623-5103
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Country | US
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Telephone | 787-688-3900
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Fax | 787-255-9445
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Authorized Official
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Title or Position | PRESIDENTE
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Name | JESICA SANTANA
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Credential |
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Telephone | 787-688-3900
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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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