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General NPI Number Information
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NPI Number | 1104545896
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Entity Type | Organization
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Legal Business Name | ADVANCED NON-EMERGENCY MEDICAL TRANSPORTATION LLC
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Dates
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Enumeration Date | 08/25/2022
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Last Update Date | 08/25/2022
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Provider Practice Location Address
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Address Line | 108 ADAM LN
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City | HOUSTON
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State | TX
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Zip | 77003-5326
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Country | US
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Telephone | 832-541-2797
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Fax |
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Provider Business Mailing Address
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Address Line | 108 ADAM LN
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City | HOUSTON
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State | TX
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Zip | 77003-5326
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Country | US
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Telephone | 832-541-2797
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Fax |
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Authorized Official
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Title or Position | OPERATOR
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Name | MR. CHAD BOYD
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Credential |
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Telephone | 832-541-2797
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343800000X
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Taxonomy Name | Secured Medical Transport (VAN)
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License Number |
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License Number State |
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