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General NPI Number Information
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NPI Number | 1073840369
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Entity Type | Organization
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Legal Business Name | CTC TRIAD, INC.
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Dates
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Enumeration Date | 11/09/2009
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Last Update Date | 01/24/2025
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Provider Practice Location Address
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Address Line | 2521 PORT ST
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City | WEST SACRAMENTO
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State | CA
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Zip | 95691-3503
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Country | US
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Telephone | 916-333-5733
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Fax | 916-333-5797
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Provider Business Mailing Address
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Address Line | 1275 FAIRFAX AVE STE 203A
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City | SAN FRANCISCO
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State | CA
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Zip | 94124-1759
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Country | US
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Telephone | 415-777-2237
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Fax | 415-777-2259
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Authorized Official
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Title or Position | CFO
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Name | CHANCHIRA NARIUNANONT
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Credential |
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Telephone | 415-777-2237
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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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