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General NPI Number Information
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NPI Number | 1134608219
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Entity Type | Organization
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Legal Business Name | SUNSET MEDICAL TRANSPORT LLC
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Dates
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Enumeration Date | 08/09/2018
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Last Update Date | 08/09/2018
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Provider Practice Location Address
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Address Line | 2014 22ND AVE
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City | SAN FRANCISCO
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State | CA
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Zip | 94116-1211
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Country | US
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Telephone | 415-806-9110
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Fax | 415-681-8378
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Provider Business Mailing Address
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Address Line | 2014 22ND AVE
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City | SAN FRANCISCO
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State | CA
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Zip | 94116-1211
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Country | US
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Telephone | 415-806-9110
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Fax | 415-681-8378
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Authorized Official
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Title or Position | LLC MEMBER
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Name | BONNIE KWAN
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Credential |
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Telephone | 415-806-9110
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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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