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General NPI Number Information
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NPI Number | 1174232839
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Entity Type | Organization
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Legal Business Name | CONNECTION POINT FREIGHT CARRIERS LLC
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Dates
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Enumeration Date | 11/21/2022
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Last Update Date | 11/21/2022
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Provider Practice Location Address
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Address Line | 2223 LOS FELIZ DR APT 202
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City | THOUSAND OAKS
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State | CA
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Zip | 91362-3093
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Country | US
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Telephone | 820-667-6107
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Fax |
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Provider Business Mailing Address
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Address Line | 275 E HILLCREST DR # 246-160
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City | THOUSAND OAKS
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State | CA
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Zip | 91360-5827
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Country | US
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Telephone | 805-777-8866
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Fax |
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Authorized Official
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Title or Position | CEO/OWNER
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Name | MR. THEARON KENNORD MISTER
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Credential |
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Telephone | 820-667-6107
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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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