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General NPI Number Information
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NPI Number | 1053612549
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Entity Type | Organization
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Legal Business Name | ADAPTIVE NON EMERGENCY TRANSPORTATION INC.
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Dates
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Enumeration Date | 11/15/2010
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Last Update Date | 11/15/2010
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Provider Practice Location Address
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Address Line | 472 COURTHOUSE RD SE
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City | LOS LUNAS
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State | NM
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Zip | 87031-9270
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Country | US
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Telephone | 505-865-6000
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Fax | 505-865-6605
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Provider Business Mailing Address
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Address Line | 472 COURTHOUSE RD SE
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City | LOS LUNAS
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State | NM
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Zip | 87031-9270
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Country | US
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Telephone | 505-865-6000
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Fax | 505-865-6605
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Authorized Official
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Title or Position | DIRECTOR OF SERVICES
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Name | CARLOS MARRUFO
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Credential |
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Telephone | 505-865-6000
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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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