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General NPI Number Information
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NPI Number | 1073936241
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Entity Type | Organization
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Legal Business Name | ACCESS MEDICAL TRANSPORT
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Dates
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Enumeration Date | 01/23/2014
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Last Update Date | 09/25/2024
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Provider Practice Location Address
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Address Line | 147 EDWARD T CALVO MEMORIAL PARKWAY UNIT 101
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City | TAMUNING
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State | GU
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Zip | 96913-0000
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Country | US
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Telephone | 671-646-6970
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Fax | 671-646-6971
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Provider Business Mailing Address
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Address Line | PO BOX 6948
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City | TAMUNING
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State | GU
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Zip | 96931-6948
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Country | US
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Telephone | 671-646-6970
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Fax | 671-646-6971
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Authorized Official
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Title or Position | PRESIDENT
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Name | WELLA GHIN ALEXIS VAN UNEN
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Credential |
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Telephone | 671-646-6970
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number |
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License Number State | GU
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