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General NPI Number Information
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NPI Number | 1124501333
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Entity Type | Organization
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Legal Business Name | TYMON LLC
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Dates
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Enumeration Date | 09/13/2018
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Last Update Date | 09/13/2018
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Provider Practice Location Address
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Address Line | 6101 S RURAL RD STE 101
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City | TEMPE
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State | AZ
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Zip | 85283-2910
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Country | US
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Telephone | 480-232-8025
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Fax | 480-517-4828
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Provider Business Mailing Address
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Address Line | 8016 S 32ND WAY
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City | PHOENIX
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State | AZ
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Zip | 85042-9665
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Country | US
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Telephone | 480-232-8025
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Fax | 480-517-4828
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Authorized Official
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Title or Position | GENERAL MANAGER
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Name | AYMEN B ABDELHABIB
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Credential |
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Telephone | 480-201-3383
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 344600000X
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Taxonomy Name | Taxi
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License Number |
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License Number State |
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Taxonomy #2
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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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