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General NPI Number Information
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NPI Number | 1194175877
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Entity Type | Organization
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Legal Business Name | HELPING VANS LLC
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Dates
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Enumeration Date | 06/14/2016
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Last Update Date | 06/14/2016
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Provider Practice Location Address
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Address Line | 13284 WILLIS RD
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City | CALDWELL
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State | ID
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Zip | 83607-7790
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Country | US
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Telephone | 208-577-0876
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Fax |
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Provider Business Mailing Address
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Address Line | 13284 WILLIS RD
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City | CALDWELL
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State | ID
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Zip | 83607-7790
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Country | US
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Telephone | 208-577-0876
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Fax |
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Authorized Official
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Title or Position | MEMBER/MANAGER
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Name | AMBER COLLEEN IRISH-MEDINA
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Credential | B.A. ACCOUNTANCY
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Telephone | 509-780-7117
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 344600000X
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Taxonomy Name | Taxi
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License Number |
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License Number State |
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Taxonomy #2
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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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