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General NPI Number Information
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NPI Number | 1205591401
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Entity Type | Organization
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Legal Business Name | MED LINE TRANSPORTATION INC
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Dates
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Enumeration Date | 11/02/2021
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Last Update Date | 11/02/2021
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Provider Practice Location Address
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Address Line | 7330 BUCKEYE DR
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City | FONTANA
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State | CA
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Zip | 92336-2374
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Country | US
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Telephone | 818-667-0991
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Fax |
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Provider Business Mailing Address
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Address Line | 21781 VENTURA BLVD # 317
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City | WOODLAND HILLS
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State | CA
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Zip | 91364-1835
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Country | US
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Telephone | 818-667-0991
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Fax |
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Authorized Official
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Title or Position | OWNER, PRESIDENT
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Name | BEATRIS B YERANOSIAN
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Credential |
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Telephone | 818-667-0991
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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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