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General NPI Number Information
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NPI Number | 1023803699
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Entity Type | Organization
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Legal Business Name | SELECT CARE TRANSPORT
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Dates
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Enumeration Date | 04/14/2025
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Last Update Date | 04/14/2025
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Provider Practice Location Address
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Address Line | 4415 CRAIN HWY
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City | WHITE PLAINS
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State | MD
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Zip | 20695-3016
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Country | US
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Telephone | 240-244-9797
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Fax |
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Provider Business Mailing Address
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Address Line | 9814 FRANKFURT DR
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City | WALDORF
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State | MD
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Zip | 20603-5328
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Country | US
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Telephone | 301-660-1598
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. DEMERICK CHANDLER
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Credential |
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Telephone | 301-660-1598
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number |
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License Number State |
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