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General NPI Number Information
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NPI Number | 1043134828
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Entity Type | Organization
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Legal Business Name | AMANA MOBILITY LLC
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Dates
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Enumeration Date | 08/05/2026
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Last Update Date | 08/05/2026
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Provider Practice Location Address
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Address Line | 1507 TOWER AVE STE 333
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City | SUPERIOR
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State | WI
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Zip | 54880-2553
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Country | US
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Telephone | 715-338-2315
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Fax | 715-945-5006
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Provider Business Mailing Address
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Address Line | 1507 TOWER AVE STE 333
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City | SUPERIOR
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State | WI
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Zip | 54880-2553
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Country | US
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Telephone | 715-338-2315
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Fax | 715-945-5006
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Authorized Official
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Title or Position | MANAGER
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Name | ALI IBRAHIM
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Credential |
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Telephone | 715-338-2315
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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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