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General NPI Number Information
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NPI Number | 1124115282
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Entity Type | Organization
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Legal Business Name | TRI COUNTY MEDICAL TRANSPORT
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Dates
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Enumeration Date | 10/09/2006
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Last Update Date | 06/04/2009
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Provider Practice Location Address
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Address Line | 659 E DINUBA AVE
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City | REEDLEY
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State | CA
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Zip | 93654-3533
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Country | US
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Telephone | 559-637-1851
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Fax | 559-637-1861
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Provider Business Mailing Address
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Address Line | 659 E DINUBA AVE
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City | REEDLEY
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State | CA
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Zip | 93654-3533
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Country | US
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Telephone | 559-637-1851
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Fax | 559-637-1861
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Authorized Official
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Title or Position | OWNER
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Name | MR. HORACIO ALEMAN SR.
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Credential |
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Telephone | 559-352-8700
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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 | CA
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