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NPI 1952304818

NPI 1952304818 : AMERICAN AMBULANCE SERVICE (DADE COUNTY) : MIAMI, FL

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General NPI Number Information
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    NPI Number           |    1952304818
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    Entity Type          |    Organization 
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    Legal Business Name  |    AMERICAN AMBULANCE SERVICE (DADE COUNTY) 
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Dates
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    Enumeration Date     |    05/24/2005
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    Last Update Date     |    08/22/2020
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Provider Practice Location Address
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    Address Line         |    6605 NW 74TH AVE 
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    City                 |    MIAMI
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    State                |    FL
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    Zip                  |    33166-2819
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    Country              |    US
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    Telephone            |    305-925-2000
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    Fax                  |    305-888-3229
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Provider Business Mailing Address
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    Address Line         |    6605 NW 74TH AVE 
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    City                 |    MIAMI
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    State                |    FL
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    Zip                  |    33166-2819
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    Country              |    US
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    Telephone            |    305-925-2000
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    Fax                  |    305-888-3229
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Authorized Official
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    Title or Position    |    VP
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    Name                 |     CHARLES  MAYMON 
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    Credential           |    
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    Telephone            |    305-925-2000
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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       |    002582
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    License Number State |    FL
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