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General NPI Number Information
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NPI Number | 1205321874
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Entity Type | Organization
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Legal Business Name | PENTAGON RIDES & TRANSPORT LLC
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Dates
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Enumeration Date | 06/26/2018
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Last Update Date | 06/08/2023
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Provider Practice Location Address
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Address Line | 719 NILES ST. STE E-1
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City | BAKERSFIELD
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State | CA
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Zip | 93305-4400
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Country | US
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Telephone | 951-244-9413
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Fax | 951-552-1195
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Provider Business Mailing Address
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Address Line | 24167 CRUISE CIRCLE DR.
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City | CANYON LAKE
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State | CA
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Zip | 92587-7735
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Country | US
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Telephone | 951-241-9431
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Fax | 951-552-1195
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Authorized Official
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Title or Position | CEO
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Name | MR. SCOTT K WEST JR.
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Credential |
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Telephone | 951-990-3444
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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 |
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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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