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General NPI Number Information
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NPI Number | 1144737891
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Entity Type | Organization
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Legal Business Name | SHUTTLE CHOICE TRANSIT INCORPORATED
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Dates
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Enumeration Date | 01/03/2018
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Last Update Date | 09/27/2018
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Provider Practice Location Address
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Address Line | 17814 WOODRUFF AVE
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City | BELLFLOWER
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State | CA
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Zip | 90706-7000
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Country | US
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Telephone | 562-804-2424
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Fax |
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Provider Business Mailing Address
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Address Line | 925 AZALEA DR
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City | COSTA MESA
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State | CA
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Zip | 92626-1701
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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 | CARLOS VILLARUZ
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Credential |
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Telephone | 626-407-6332
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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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