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NPI Code Detail

MEDICARE: BEAUTIFUL FRESNO TRANSPORTATION LLC

MEDICARE: BEAUTIFUL FRESNO TRANSPORTATION LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1343900000XNon-emergency Medical Transport (VAN)401064CA

General Provider Information

NPI Number : 1700109097
Entity Type Code : Organization
Provider Name (Legal Business Name) : BEAUTIFUL FRESNO TRANSPORTATION LLC
Provider Business Mailing Address
First Line : 5868 E PARK CIRCLE DR
Second Line :
City : FRESNO
State : CA
Zip : 93727-5533
Country : US
Telephone Number : 559-681-1430
Fax Number : 559-221-6275
Provider Business Practice Location Address
First Line : 3087 E CLINTON AVE
Second Line :
City : FRESNO
State : CA
Zip : 93703-2321
Country : US
Telephone Number : 559-681-1430
Fax Number : 559-221-6275
Authorized Official
Title or Position : MANAGER
Name : GAO LEE
Credential :
Telephone Number : 559-681-1430
Provider Enumeration Date : 03/01/2010
Last Update Date : 03/01/2010

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Directions to “BEAUTIFUL FRESNO TRANSPORTATION LLC ” Practice Location

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