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General NPI Number Information
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NPI Number | 1053739151
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Entity Type | Organization
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Legal Business Name | DOOLO MEDICAL TRANSPORT, LLC
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Dates
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Enumeration Date | 04/04/2014
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Last Update Date | 12/13/2016
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Provider Practice Location Address
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Address Line | 6035 UNIVERSITY AVE STE 20
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City | SAN DIEGO
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State | CA
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Zip | 92115-6343
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Country | US
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Telephone | 619-342-6298
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Fax | 619-487-9102
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Provider Business Mailing Address
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Address Line | 6035 UNIVERSITY AVE STE 20
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City | SAN DIEGO
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State | CA
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Zip | 92115-6343
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Country | US
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Telephone | 619-342-6298
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Fax | 619-487-9102
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Authorized Official
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Title or Position | CEO
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Name | SADAD ALI
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Credential |
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Telephone | 619-342-6298
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 777221
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License Number State | CA
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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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