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General NPI Number Information
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NPI Number | 1962733402
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Entity Type | Organization
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Legal Business Name | RESCUE ONE AMBULANCE CORPORATION
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Dates
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Enumeration Date | 01/22/2010
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Last Update Date | 11/29/2017
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Provider Practice Location Address
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Address Line | 15540 TEXACO AVE
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City | PARAMOUNT
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State | CA
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Zip | 90723-3922
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Country | US
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Telephone | 877-220-0421
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Fax | 877-330-3520
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Provider Business Mailing Address
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Address Line | 15540 TEXACO AVE
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City | PARAMOUNT
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State | CA
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Zip | 90723-3922
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Country | US
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Telephone | 877-220-0421
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Fax | 877-330-3520
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Authorized Official
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Title or Position | C.E.O.
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Name | MR. ANDREW AYAD BOULOS
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Credential |
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Telephone | 562-252-2010
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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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