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General NPI Number Information
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NPI Number | 1235442898
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Entity Type | Organization
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Legal Business Name | ROADRUNNER EXPRESS, LLC
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Dates
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Enumeration Date | 07/23/2010
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Last Update Date | 10/23/2012
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Provider Practice Location Address
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Address Line | 2345 BALBOA ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94121-2912
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Country | US
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Telephone | 800-608-1315
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Fax | 888-315-5419
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Provider Business Mailing Address
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Address Line | PO BOX 957
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City | DALY CITY
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State | CA
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Zip | 94017-0957
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Country | US
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Telephone | 800-608-1315
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Fax | 888-315-5419
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Authorized Official
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Title or Position | OWENER
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Name | KHERLENCHIMEG BAASANDAMBA
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Credential |
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Telephone | 800-608-1315
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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 | N/A
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License Number State | CA
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