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General NPI Number Information
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NPI Number | 1073088514
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Entity Type | Organization
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Legal Business Name | EZ ACCESS TRANSPORTATION CORP.
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Dates
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Enumeration Date | 10/11/2018
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Last Update Date | 09/06/2019
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Provider Practice Location Address
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Address Line | 24328 S VERMONT AVE SUITE #313
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City | HARBOR CITY
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State | CA
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Zip | 90710
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Country | US
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Telephone | 310-684-1408
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Fax | 310-684-1490
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Provider Business Mailing Address
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Address Line | 24328 S VERMONT AVE SUITE #313
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City | HARBOR CITY
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State | CA
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Zip | 90710
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Country | US
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Telephone | 310-684-1408
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Fax | 310-684-1490
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROSALINO L. ONATE
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Credential |
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Telephone | 310-986-0086
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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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