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General NPI Number Information
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NPI Number | 1245424589
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Entity Type | Organization
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Legal Business Name | VIKING TRANSPORT, INC.
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Dates
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Enumeration Date | 08/29/2007
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Last Update Date | 10/18/2013
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Provider Practice Location Address
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Address Line | 955 E 4TH AVE
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City | SAN MATEO
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State | CA
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Zip | 94401-3318
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Country | US
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Telephone | 415-730-2266
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Fax | 415-386-8910
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Provider Business Mailing Address
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Address Line | 750 LA PLAYA ST # 632
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City | SAN FRANCISCO
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State | CA
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Zip | 94121-3262
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Country | US
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Telephone | 415-730-2266
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Fax | 415-386-8910
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Authorized Official
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Title or Position | PRESIDENT
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Name | LEV KREMER
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Credential |
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Telephone | 415-730-2266
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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 | D1223853
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License Number State | CA
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