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General NPI Number Information
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NPI Number | 1932482379
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Entity Type | Organization
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Legal Business Name | AMBUCARE INTERSTATE AMBULANCE, INC
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Dates
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Enumeration Date | 09/22/2011
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Last Update Date | 09/22/2011
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Provider Practice Location Address
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Address Line | 150 GREAVES LN STE L SUITE 142
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City | STATEN ISLAND
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State | NY
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Zip | 10308-2173
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Country | US
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Telephone | 866-535-9948
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Fax | 877-633-4569
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Provider Business Mailing Address
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Address Line | 11 INTEGRA DR SUITE 10
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City | CONCORD
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State | NH
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Zip | 03301-5150
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Country | US
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Telephone | 866-535-9948
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Fax | 877-633-4569
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ROBERT MARCHAND
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Credential |
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Telephone | 866-535-9948
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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 | NH
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Taxonomy #2
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number |
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License Number State | NH
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