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General NPI Number Information
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NPI Number | 1235081522
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Entity Type | Organization
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Legal Business Name | AUTOMEDIC TRANSPORTATION, LLC.
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Dates
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Enumeration Date | 02/10/2026
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Last Update Date | 02/10/2026
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Provider Practice Location Address
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Address Line | 5360 MISSION BLVD
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City | JURUPA VALLEY
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State | CA
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Zip | 92509-4626
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Country | US
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Telephone | 951-686-0685
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Fax |
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Provider Business Mailing Address
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Address Line | 2045 COMPTON AVE STE 203
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City | CORONA
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State | CA
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Zip | 92881-7294
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | OMAR MANASRAH
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Credential |
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Telephone | 714-742-4606
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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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