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General NPI Number Information
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NPI Number | 1063115699
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Entity Type | Organization
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Legal Business Name | JOSEPH&MARY MEDICAL TRANSPORT COMPANY
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Dates
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Enumeration Date | 03/23/2023
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Last Update Date | 03/23/2023
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Provider Practice Location Address
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Address Line | 9888 EARLS FERRY CIR
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City | BRISTOW
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State | VA
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Zip | 20136-2686
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Country | US
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Telephone | 703-989-1528
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Fax | 919-617-6510
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Provider Business Mailing Address
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Address Line | 9888 EARLS FERRY CIR
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City | BRISTOW
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State | VA
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Zip | 20136-2686
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Country | US
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Telephone | 703-989-1528
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Fax | 919-617-6510
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Authorized Official
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Title or Position | MANAGER
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Name | MR. EDWARD SAKAWA NYASAKA
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Credential | BUSINESS OWNER/
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Telephone | 703-989-1528
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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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