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General NPI Number Information
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NPI Number | 1144419730
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Entity Type | Organization
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Legal Business Name | UNIVERSAL MEDICAL TRANSPORTATION, INC.
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Dates
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Enumeration Date | 10/18/2007
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Last Update Date | 10/18/2007
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Provider Practice Location Address
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Address Line | 3739 OVERLAND AVE
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City | LOS ANGELES
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State | CA
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Zip | 90034-6311
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Country | US
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Telephone | 310-559-0888
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Fax | 310-559-1568
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Provider Business Mailing Address
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Address Line | 212 19TH ST
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City | SANTA MONICA
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State | CA
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Zip | 90402-2408
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Country | US
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Telephone | 310-559-0888
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Fax | 310-559-1568
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Authorized Official
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Title or Position | MANAGER
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Name | MR. TIMUR RADZHABOV
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Credential |
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Telephone | 310-559-0888
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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 | 0000121902-0001-7
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License Number State | CA
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