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General NPI Number Information
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NPI Number | 1154867703
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Entity Type | Organization
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Legal Business Name | O & M TRANSPORTATION
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Dates
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Enumeration Date | 01/06/2017
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Last Update Date | 01/06/2017
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Provider Practice Location Address
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Address Line | 1309 HOLLY GLEN DR
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City | DALLAS
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State | TX
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Zip | 75232-1109
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Country | US
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Telephone | 214-563-4954
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Fax |
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Provider Business Mailing Address
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Address Line | 1309 HOLLY GLEN DR .
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City | DALLAS
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State | TX
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Zip | 75232
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Country | US
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Telephone | 214-563-4954
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ORLANDO AMEN
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Credential |
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Telephone | 214-563-4954
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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 | 05397692
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License Number State | TX
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