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General NPI Number Information
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NPI Number | 1942287297
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Entity Type | Organization
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Legal Business Name | ALLIED MEDICAL AMBULANCE INC
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Dates
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Enumeration Date | 12/28/2005
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Last Update Date | 10/27/2011
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Provider Practice Location Address
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Address Line | 168 BELMONT AVE
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City | BALA CYNWYD
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State | PA
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Zip | 19004-1311
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Country | US
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Telephone | 610-664-4775
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Fax | 610-664-5794
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Provider Business Mailing Address
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Address Line | 168 BELMONT AVE
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City | BALA CYNWYD
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State | PA
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Zip | 19004-1311
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Country | US
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Telephone | 610-664-4775
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Fax | 610-664-5794
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Authorized Official
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Title or Position | PEREZ
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Name | MR. GEORGE PEREZ
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Credential |
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Telephone | 610-664-4775
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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 | 13-0068
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License Number State | PA
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