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General NPI Number Information
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NPI Number | 1235965971
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Entity Type | Organization
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Legal Business Name | DUSK TRANSPORT LLC
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Dates
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Enumeration Date | 09/10/2024
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Last Update Date | 10/11/2024
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Provider Practice Location Address
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Address Line | 614 RYTKO ST
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City | SAN DIEGO
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State | CA
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Zip | 92114-4729
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Country | US
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Telephone | 949-416-9806
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Fax |
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Provider Business Mailing Address
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Address Line | 2261 MARKET ST STE 10044
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City | SAN FRANCISCO
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State | CA
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Zip | 94114-1612
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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 | OWNER
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Name | MR. ZACHARY GRAF
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Credential | NHA
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Telephone | 949-416-9806
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BN1400X
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Taxonomy Name | Nursing Facility Supplies (DME)
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License Number |
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License Number State |
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