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General NPI Number Information
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NPI Number | 1053932772
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Entity Type | Organization
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Legal Business Name | N.E.M.T BY MOE LLC
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Dates
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Enumeration Date | 05/04/2020
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Last Update Date | 06/11/2023
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Provider Practice Location Address
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Address Line | 39195 ETERNITY LN
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City | MURRIETA
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State | CA
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Zip | 92563-6873
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Country | US
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Telephone | 951-260-8909
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 444 30724 BENTON RD STE C302
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City | WINCHESTER
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State | CA
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Zip | 92596-8470
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Country | US
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Telephone | 951-260-8909
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Fax |
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | MRS. MONIQUE PATRISE MURRAY CARTER
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Credential |
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Telephone | 951-260-8909
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 344600000X
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Taxonomy Name | Taxi
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License Number |
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License Number State |
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Taxonomy #3
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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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Taxonomy #4
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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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