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General NPI Number Information
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NPI Number | 1942829197
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Entity Type | Organization
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Legal Business Name | COAST2COAST PUBLIC SAFETY CORPORATION
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Dates
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Enumeration Date | 04/08/2020
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Last Update Date | 09/01/2021
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Provider Practice Location Address
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Address Line | 1733 S DOUGLASS RD STE H
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City | ANAHEIM
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State | CA
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Zip | 92806-6034
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Country | US
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Telephone | 833-262-7877
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Fax | 833-226-2235
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Provider Business Mailing Address
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Address Line | 1733 S DOUGLASS RD STE H
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City | ANAHEIM
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State | CA
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Zip | 92806-6034
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Country | US
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Telephone | 833-262-7877
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Fax | 833-226-2235
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Authorized Official
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Title or Position | CEO
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Name | JASON VILLA
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Credential |
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Telephone | 833-262-7877
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 |
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