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General NPI Number Information
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NPI Number | 1164517520
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Entity Type | Organization
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Legal Business Name | MERCY MEDICAL TRANSPORTATION, INC.
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 28205 NORTH LAKE WOHLFORD RD
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City | VALLEY CENTER
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State | CA
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Zip | 92082-6742
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Country | US
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Telephone | 760-751-9797
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Fax | 760-751-8880
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Provider Business Mailing Address
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Address Line | P.O. BOX 5004
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City | MARIPOSA
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State | CA
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Zip | 95338-5004
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Country | US
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Telephone | 760-751-9797
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Fax | 760-751-8880
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Authorized Official
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Title or Position | BILLING SUPERVISOR
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Name | MISS LINDAMARI KIRKENDALL
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Credential |
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Telephone | 760-751-9797
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number |
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License Number State |
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