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General NPI Number Information
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NPI Number | 1164894549
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Entity Type | Organization
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Legal Business Name | ADVANCE TRANSPORT SERVICES (ATS) LLC
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Dates
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Enumeration Date | 10/26/2015
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Last Update Date | 10/26/2015
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Provider Practice Location Address
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Address Line | 327 COLLEGE ST STE 107
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City | WOODLAND
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State | CA
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Zip | 95695-3481
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Country | US
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Telephone | 916-410-6000
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Fax | 530-419-2603
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Provider Business Mailing Address
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Address Line | 327 COLLEGE ST STE 107
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City | WOODLAND
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State | CA
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Zip | 95695-3481
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Country | US
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Telephone | 916-410-6000
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Fax | 530-419-2603
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Authorized Official
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Title or Position | OWNER
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Name | JIMMY D ODUSOLA
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Credential |
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Telephone | 916-410-6000
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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 | A6498774
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License Number State | CA
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