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General NPI Number Information
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NPI Number | 1952607897
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Entity Type | Organization
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Legal Business Name | PROSPECTIVE AMBULANCE INC
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Dates
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Enumeration Date | 02/09/2011
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Last Update Date | 02/09/2011
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Provider Practice Location Address
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Address Line | 15330 VERMONT AVE STE B
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City | PARAMOUNT
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State | CA
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Zip | 90723-4225
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Country | US
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Telephone | 818-497-0555
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Fax | 818-786-5559
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Provider Business Mailing Address
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Address Line | 15330 VERMONT AVE STE B
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City | PARAMOUNT
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State | CA
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Zip | 90723-4225
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Country | US
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Telephone | 818-497-0555
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Fax | 818-786-5559
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Authorized Official
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Title or Position | CEO
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Name | EMILIA ZVEREV
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Credential |
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Telephone | 818-497-0555
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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 |
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