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General NPI Number Information
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NPI Number | 1023469517
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Entity Type | Organization
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Legal Business Name | ON TIME TRANSIT LLC
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Dates
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Enumeration Date | 06/25/2016
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Last Update Date | 06/25/2016
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Provider Practice Location Address
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Address Line | 1214 VARACRUZ DR
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City | ARLINGTON
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State | TX
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Zip | 76010-3536
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Country | US
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Telephone | 817-805-5373
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Fax |
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Provider Business Mailing Address
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Address Line | 777 S CENTRAL EXPY # 7 A
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City | RICHARDSON
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State | TX
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Zip | 75080-7411
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Country | US
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Telephone | 817-805-5373
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JANVIER BUSOGI
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Credential |
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Telephone | 817-805-5373
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number | 802347169
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License Number State | TX
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