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General NPI Number Information
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NPI Number | 1255704607
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Entity Type | Organization
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Legal Business Name | 1ST A LIMOUSINE @ DENVER,LLC
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Dates
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Enumeration Date | 11/06/2015
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Last Update Date | 11/06/2015
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Provider Practice Location Address
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Address Line | 9999 E YALE AVE APT # A-106
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City | DENVER
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State | CO
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Zip | 80231-5948
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Country | US
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Telephone | 720-335-7443
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 221274
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City | DENVER
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State | CO
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Zip | 80222-1007
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Country | US
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Telephone | 720-335-7443
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | MR. KHALID ALI ABDELNAEEM
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Credential |
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Telephone | 720-335-7443
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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 | PUC 01886
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License Number State | CO
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