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General NPI Number Information
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NPI Number | 1023765989
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Entity Type | Organization
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Legal Business Name | ALIVE MEDICAL AND TRANSPORTATION INC.
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Dates
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Enumeration Date | 03/09/2022
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Last Update Date | 03/09/2022
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Provider Practice Location Address
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Address Line | 21171 S WESTERN AVE STE 2710
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City | TORRANCE
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State | CA
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Zip | 90501-1728
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Country | US
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Telephone | 973-517-7713
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Fax |
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Provider Business Mailing Address
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Address Line | 21171 S WESTERN AVE STE 2710
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City | TORRANCE
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State | CA
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Zip | 90501-1728
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Country | US
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Telephone | 973-517-7713
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MUKHTAIR TUNDE IDRIS
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Credential |
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Telephone | 973-517-7713
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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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Taxonomy #2
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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 |
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