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General NPI Number Information
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NPI Number | 1265016562
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Entity Type | Organization
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Legal Business Name | QUICK TAKE INC. BBA SOUTHWEST MEDICAL SOLUTIONS
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Dates
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Enumeration Date | 05/12/2021
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Last Update Date | 05/12/2021
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Provider Practice Location Address
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Address Line | 5300 RYE DR
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City | FORT WORTH
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State | TX
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Zip | 76179-8168
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Country | US
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Telephone | 682-365-1727
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Fax |
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Provider Business Mailing Address
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Address Line | 5300 RYE DR
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City | FORT WORTH
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State | TX
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Zip | 76179-8168
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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 | PRESIDENT
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Name | RESHMA SHIEKH
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Credential |
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Telephone | 682-557-8743
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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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