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General NPI Number Information
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NPI Number | 1053797738
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Entity Type | Organization
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Legal Business Name | GOOD SAVIOR TRANSPORTATION, INC
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Dates
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Enumeration Date | 08/05/2015
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Last Update Date | 08/09/2015
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Provider Practice Location Address
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Address Line | 19744 BEACH BLVD STE 257
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92648-2988
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Country | US
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Telephone | 714-244-7925
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1105
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City | GARDEN GROVE
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State | CA
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Zip | 92842-1105
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | ESSAM DOLAH
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Credential |
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Telephone | 714-386-8867
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 344600000X
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Taxonomy Name | Taxi
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License Number | E1168668
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License Number State | CA
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