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General NPI Number Information
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NPI Number | 1174993141
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Entity Type | Organization
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Legal Business Name | GADO MEDICAL TRANSPORTATION
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Dates
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Enumeration Date | 10/02/2015
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Last Update Date | 10/02/2015
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Provider Practice Location Address
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Address Line | 12720 BRANT ROCK DR APT 2402 12720 BRANT ROCK DR #2402
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City | HOUSTON
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State | TX
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Zip | 77082-5440
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Country | US
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Telephone | 832-209-0360
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Fax | 832-209-0360
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Provider Business Mailing Address
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Address Line | 12720 BRANT ROCK DR APT 2402
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City | HOUSTON
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State | TX
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Zip | 77082
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Country | US
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Telephone | 832-209-0360
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Fax | 832-209-0360
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Authorized Official
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Title or Position | ONER
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Name | MR. ABDISAID SULDAN MOHAMED SR.
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Credential | ABDISAID
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Telephone | 832-209-0360
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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 | TX
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