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General NPI Number Information
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NPI Number | 1104300805
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Entity Type | Organization
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Legal Business Name | HI 1 TRANSPORT
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Dates
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Enumeration Date | 09/18/2018
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Last Update Date | 09/22/2018
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Provider Practice Location Address
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Address Line | 18062 IRVINE BLVD STE 101
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City | TUSTIN
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State | CA
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Zip | 92780-3328
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Country | US
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Telephone | 949-910-9084
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Fax | 949-203-6111
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Provider Business Mailing Address
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Address Line | 18062 IRVINE BLVD STE 101
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City | TUSTIN
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State | CA
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Zip | 92780-3328
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Country | US
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Telephone | 949-910-9084
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Fax | 949-203-6111
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Authorized Official
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Title or Position | GM
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Name | MESHARI ALODAYLI
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Credential |
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Telephone | 949-910-9084
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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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