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General NPI Number Information
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NPI Number | 1114359932
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Entity Type | Organization
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Legal Business Name | FLAG TRANSPORTATION INC
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Dates
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Enumeration Date | 08/02/2013
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Last Update Date | 08/28/2015
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Provider Practice Location Address
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Address Line | 3757 KELTON AVE
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City | LOS ANGELES
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State | CA
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Zip | 90034-7107
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Country | US
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Telephone | 714-706-2644
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Fax |
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Provider Business Mailing Address
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Address Line | 3757 KELTON AVE
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City | LOS ANGELES
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State | CA
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Zip | 90034-7107
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Country | US
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Telephone | 714-706-2644
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. AHMED A BADRAN
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Credential |
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Telephone | 714-706-2644
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347E00000X
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Taxonomy Name | Transportation Broker
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License Number | 28872-B
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 28872-B
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License Number State | CA
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