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General NPI Number Information
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NPI Number | 1255141446
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Entity Type | Organization
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Legal Business Name | C&C NEMT LLC
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Dates
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Enumeration Date | 01/09/2025
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Last Update Date | 01/13/2025
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Provider Practice Location Address
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Address Line | 3313 WOODHAVEN RD
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City | PHILADELPHIA
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State | PA
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Zip | 19154-1834
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Country | US
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Telephone | 215-980-6050
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Fax |
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Provider Business Mailing Address
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Address Line | 3313 WOODHAVEN RD
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City | PHILADELPHIA
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State | PA
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Zip | 19154-1834
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Country | US
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Telephone | 215-980-6050
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | CARL NUNOO
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Credential | MR
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Telephone | 215-980-6050
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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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