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General NPI Number Information
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NPI Number | 1023312048
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Entity Type | Organization
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Legal Business Name | YAWAY DBA ABLE 24/7 TRANPORTATION
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Dates
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Enumeration Date | 01/05/2011
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Last Update Date | 01/05/2011
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Provider Practice Location Address
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Address Line | 829 WEBSTER ST 508
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City | HAYWARD
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State | CA
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Zip | 94544-4271
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Country | US
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Telephone | 510-613-5783
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Fax | 800-581-0586
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Provider Business Mailing Address
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Address Line | 1714 FRANKLIN ST #100-191
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City | OAKLAND
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State | CA
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Zip | 94612-3488
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Country | US
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Telephone | 510-613-5783
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MS. MYISHA CARTWRIGHTGRANT
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Credential |
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Telephone | 510-613-5783
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number | B3150769
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License Number State | CA
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