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General NPI Number Information
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NPI Number | 1093493983
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Entity Type | Organization
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Legal Business Name | ELNAH MEDICAL TRANSPORTATION LLC
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Dates
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Enumeration Date | 07/10/2023
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Last Update Date | 09/29/2024
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Provider Practice Location Address
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Address Line | 18246 E DORADO DR
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City | CENTENNIAL
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State | CO
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Zip | 80015-5918
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Country | US
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Telephone | 720-628-5998
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Fax |
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Provider Business Mailing Address
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Address Line | 1550 S LEWISTON ST
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City | AURORA
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State | CO
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Zip | 80017-5110
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Country | US
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Telephone | 720-905-7885
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | HADDIS W BEKELE
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Credential |
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Telephone | 720-905-7885
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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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