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General NPI Number Information
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NPI Number | 1962580282
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Entity Type | Organization
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Legal Business Name | NEW LIFE AMBULANCE CORP
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Dates
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Enumeration Date | 11/02/2006
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Last Update Date | 12/05/2023
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Provider Practice Location Address
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Address Line | BC1 CALLE 39 REXVILLE
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City | BAYAMON
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State | PR
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Zip | 00957-4133
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Country | US
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Telephone | 787-797-1737
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Fax | 787-279-3433
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Provider Business Mailing Address
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Address Line | PO BOX 607071 POSTNET PMBS
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City | BAYAMON
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State | PR
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Zip | 00960-7071
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Country | US
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Telephone | 787-797-1737
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Fax | 787-279-3433
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Authorized Official
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Title or Position | PRESIDENT
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Name | EFREN NAVIA SANTIAGO
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Credential |
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Telephone | 787-797-1737
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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 | TC AMB-119
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License Number State | PR
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Taxonomy #2
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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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