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General NPI Number Information
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NPI Number | 1063722346
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Entity Type | Organization
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Legal Business Name | EXCEL NON EMERGENCY MEDICAL TRANSPORT
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Dates
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Enumeration Date | 10/20/2010
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Last Update Date | 10/20/2010
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Provider Practice Location Address
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Address Line | 11261 SNOW BELL PL
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City | FONTANA
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State | CA
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Zip | 92337-6864
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Country | US
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Telephone | 909-356-0212
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Fax | 909-356-0218
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Provider Business Mailing Address
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Address Line | 11261 SNOW BELL PL
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City | FONTANA
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State | CA
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Zip | 92337-6864
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Country | US
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Telephone | 909-356-0212
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Fax | 909-356-0218
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Authorized Official
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Title or Position | CEO
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Name | JUDE EMEKA OKWOR
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Credential |
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Telephone | 909-356-0212
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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 | B8490909
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License Number State | CA
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