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General NPI Number Information
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NPI Number | 1023534260
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Entity Type | Organization
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Legal Business Name | YUMA MEDICAL TRANSPORT
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Dates
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Enumeration Date | 08/18/2017
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Last Update Date | 08/18/2017
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Provider Practice Location Address
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Address Line | 281 W 24TH ST STE 139
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City | YUMA
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State | AZ
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Zip | 85364-8500
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Country | US
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Telephone | 928-920-4935
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Fax | 928-433-0087
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Provider Business Mailing Address
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Address Line | PO BOX 4003
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City | YUMA
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State | AZ
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Zip | 85366-2405
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Country | US
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Telephone | 928-920-4935
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Fax | 928-433-0087
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Authorized Official
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Title or Position | OWNER
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Name | TYSON KIMBALL HUGGANS
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Credential |
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Telephone | 480-228-7508
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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 |
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License Number State |
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