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General NPI Number Information
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NPI Number | 1073078473
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Entity Type | Organization
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Legal Business Name | TRAUMA LIFE CARE MEDICAL TRANSPORT INC
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Dates
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Enumeration Date | 02/10/2019
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Last Update Date | 12/06/2024
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Provider Practice Location Address
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Address Line | 2825 WATT AVE STE 100
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City | SACRAMENTO
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State | CA
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Zip | 95821-6248
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Country | US
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Telephone | 916-368-2222
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Fax | 916-246-8060
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Provider Business Mailing Address
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Address Line | 2829 WATT AVE STE 100
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City | SACRAMENTO
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State | CA
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Zip | 95821-6238
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Country | US
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Telephone | 916-368-2222
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Fax | 916-246-8060
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Authorized Official
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Title or Position | PRESIDENT
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Name | STEVEN A ADEOSUN
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Credential | RN
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Telephone | 916-368-2222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333300000X
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Taxonomy Name | Emergency Response System Companies
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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 | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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Taxonomy #3
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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