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General NPI Number Information
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NPI Number | 1083142160
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Entity Type | Organization
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Legal Business Name | KINGS MEDICAL TRANSPORTATION INCORPORTED
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Dates
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Enumeration Date | 06/01/2017
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Last Update Date | 06/20/2018
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Provider Practice Location Address
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Address Line | 1727 KING STRREET SUITE 300
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City | ALEXANDRIA
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State | VA
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Zip | 22314
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Country | US
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Telephone | 703-203-5295
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Fax |
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Provider Business Mailing Address
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Address Line | 1727 KING ST STE 300
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City | ALEXANDRIA
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State | VA
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Zip | 22314-2761
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Country | US
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Telephone | 703-203-5295
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. ONYEDIKACHI EVANS UGORJI
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Credential |
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Telephone | 240-252-8521
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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 | 555
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License Number State | VA
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