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General NPI Number Information
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NPI Number | 1265186266
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Entity Type | Organization
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Legal Business Name | CITY CARE
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Dates
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Enumeration Date | 02/08/2022
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Last Update Date | 09/18/2022
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Provider Practice Location Address
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Address Line | 6470 EL CAJON BLVD APT 231
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City | SAN DIEGO
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State | CA
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Zip | 92115-2665
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Country | US
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Telephone | 619-791-4642
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Fax |
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Provider Business Mailing Address
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Address Line | 6470 EL CAJON BLVD APT 231
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City | SAN DIEGO
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State | CA
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Zip | 92115-2665
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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 | ECO
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Name | FEYSAL AWEYS
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Credential |
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Telephone | 619-791-4642
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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Taxonomy #2
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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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