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General NPI Number Information
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NPI Number | 1114224581
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Entity Type | Organization
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Legal Business Name | CDE TRANSPORTATION & SERVICES
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Dates
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Enumeration Date | 02/22/2011
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Last Update Date | 02/22/2011
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Provider Practice Location Address
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Address Line | 220 W PAPAGO WAY
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City | COCHISE
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State | AZ
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Zip | 85606-8714
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Country | US
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Telephone | 520-826-3449
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Fax | 520-826-1716
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Provider Business Mailing Address
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Address Line | 220 W PAPAGO WAY
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City | COCHISE
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State | AZ
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Zip | 85606-8714
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Country | US
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Telephone | 520-826-3449
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Fax | 520-826-1716
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. BARBARA ANN HART
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Credential | LPN
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Telephone | 520-826-3449
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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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