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General NPI Number Information
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NPI Number | 1124830187
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Entity Type | Organization
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Legal Business Name | AMANA MED TRANS LLC
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Dates
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Enumeration Date | 01/24/2025
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Last Update Date | 01/24/2025
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Provider Practice Location Address
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Address Line | 829 S LEMON AVE STE A11C
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City | DIAMOND BAR
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State | CA
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Zip | 91789-2901
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Country | US
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Telephone | 213-444-8247
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Fax |
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Provider Business Mailing Address
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Address Line | 829 S LEMON AVE STE A11C
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City | DIAMOND BAR
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State | CA
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Zip | 91789-2901
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | OSAMA A ZATAR
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Credential |
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Telephone | 213-444-8247
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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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