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General NPI Number Information
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NPI Number | 1235020496
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Entity Type | Organization
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Legal Business Name | GOOD SAMARITAN MEDICAL TRANSPORTATION
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Dates
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Enumeration Date | 07/14/2025
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Last Update Date | 07/14/2025
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Provider Practice Location Address
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Address Line | 2500 TEXAS DR STE 102
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City | IRVING
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State | TX
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Zip | 75062-7058
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Country | US
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Telephone | 214-205-1099
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Fax |
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Provider Business Mailing Address
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Address Line | 2500 TEXAS DR STE 102
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City | IRVING
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State | TX
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Zip | 75062-7058
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Country | US
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Telephone | 214-205-1099
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Fax |
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | ISIOMA EHIOBU
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Credential |
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Telephone | 214-205-1099
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343800000X
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Taxonomy Name | Secured Medical Transport (VAN)
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License Number |
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License Number State |
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