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General NPI Number Information
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NPI Number | 1972618403
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Entity Type | Organization
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Legal Business Name | AMERICAN AMBULANCE
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Dates
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Enumeration Date | 08/21/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1032 KINNEYS LN
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City | PORTSMOUTH
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State | OH
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Zip | 45662-2805
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Country | US
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Telephone | 740-355-1000
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Fax | 740-355-1003
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Provider Business Mailing Address
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Address Line | 5870 CLEVELAND AVE STE D
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City | COLUMBUS
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State | OH
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Zip | 43231-2806
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Country | US
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Telephone | 614-890-8653
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Fax | 614-890-2947
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Authorized Official
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Title or Position | OWNER
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Name | MR. STEVE VAUGHTERS
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Credential | PARAMEDIC
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Telephone | 740-355-1000
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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 | 730282
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License Number State | OH
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