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General NPI Number Information
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NPI Number | 1932367141
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Entity Type | Organization
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Legal Business Name | EMPIRE AMBULANCE INCORPORATED
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Dates
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Enumeration Date | 05/26/2008
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Last Update Date | 04/25/2012
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Provider Practice Location Address
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Address Line | 1987 PIONEER RD
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City | HUNTINGDON VALLEY
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State | PA
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Zip | 19006-2501
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Country | US
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Telephone | 215-938-5999
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Fax |
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Provider Business Mailing Address
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Address Line | 651 HOYT RD
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City | HUNTINGDON VALLEY
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State | PA
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Zip | 19006-8103
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Country | US
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Telephone | 215-947-6534
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ROSTYSLAV VITER
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Credential |
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Telephone | 267-939-1742
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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 | 08005
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License Number State | PA
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