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General NPI Number Information
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NPI Number | 1235594532
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Entity Type | Organization
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Legal Business Name | M & G MEDICAL TRANSIPORTION
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Dates
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Enumeration Date | 12/31/2015
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Last Update Date | 12/31/2015
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Provider Practice Location Address
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Address Line | 4310 WILLOW BEACH DR
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City | HOUSTON
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State | TX
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Zip | 77072-1950
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Country | US
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Telephone | 832-754-7983
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Fax |
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Provider Business Mailing Address
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Address Line | 4310 WILLOW BEACH DR
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City | HOUSTON
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State | TX
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Zip | 77072-1950
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Country | US
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Telephone | 832-754-7983
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Fax |
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Authorized Official
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Title or Position | C E O
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Name | MR. JEFFER K CONTEH I
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Credential |
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Telephone | 832-754-7983
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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 | TX
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