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General NPI Number Information
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NPI Number | 1174058903
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Entity Type | Organization
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Legal Business Name | ALL WHEELS TRANSPORTATION
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Dates
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Enumeration Date | 04/30/2017
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Last Update Date | 04/30/2017
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Provider Practice Location Address
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Address Line | 6500 NORTHWEST DR STE 160
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City | MESQUITE
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State | TX
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Zip | 75150-6870
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Country | US
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Telephone | 214-334-8631
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Fax | 214-279-0501
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Provider Business Mailing Address
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Address Line | 1745 PALO ALTO DR
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City | MESQUITE
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State | TX
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Zip | 75150-1373
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Country | US
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Telephone | 214-334-8631
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Fax | 214-279-0501
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Authorized Official
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Title or Position | OWNER
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Name | ANGELA TERRY
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Credential |
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Telephone | 214-334-8631
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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 | 07645162
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License Number State | TX
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