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General NPI Number Information
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NPI Number | 1174960702
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Entity Type | Organization
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Legal Business Name | PACIFIC HEALTH TRANSPORTATION & LANGUAGE INTERPRETATION
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Dates
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Enumeration Date | 05/22/2013
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Last Update Date | 05/22/2013
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Provider Practice Location Address
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Address Line | 7636 MASTERS ST
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City | ELK GROVE
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State | CA
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Zip | 95758-7244
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Country | US
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Telephone | 916-642-2050
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Fax | 187-721-0621
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Provider Business Mailing Address
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Address Line | 9941 DOVE SHELL WAY
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City | ELK GROVE
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State | CA
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Zip | 95757-6283
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | MR. RAHUL KUNWAR
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Credential |
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Telephone | 916-642-2050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347E00000X
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Taxonomy Name | Transportation Broker
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License Number | 5000001042
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License Number State | CA
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