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General NPI Number Information
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NPI Number | 1932284155
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Entity Type | Organization
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Legal Business Name | AAA AMBULETTE SERVICE INC.
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Dates
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Enumeration Date | 10/26/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 122 VERDI ST
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City | FARMINGDALE
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State | NY
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Zip | 11735-6323
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Country | US
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Telephone | 151-675-3161
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Fax | 151-675-3030
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Provider Business Mailing Address
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Address Line | 122 VERDI ST
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City | FARMINGDALE
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State | NY
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Zip | 11735-6323
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Country | US
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Telephone | 151-675-3161
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Fax | 151-675-3030
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. SHAWN PATRICK NEVILLE
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Credential |
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Telephone | 15167531616
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number | 01636319
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License Number State | NY
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