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General NPI Number Information
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NPI Number | 1134738008
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Entity Type | Organization
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Legal Business Name | QUALITY CARE TRANSIT LLC
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Dates
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Enumeration Date | 07/27/2020
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Last Update Date | 04/07/2023
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Provider Practice Location Address
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Address Line | 20288 FM 1314 RD
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City | PORTER
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State | TX
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Zip | 77365-3445
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Country | US
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Telephone | 936-703-3040
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Fax |
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Provider Business Mailing Address
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Address Line | 2724 CROSSHAVEN WAY
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City | CONROE
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State | TX
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Zip | 77304-2364
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Country | US
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Telephone | 708-898-8311
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANGIE JACKSON
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Credential |
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Telephone | 936-703-3040
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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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Taxonomy #2
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 343800000X
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Taxonomy Name | Secured Medical Transport (VAN)
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License Number |
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License Number State |
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