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General NPI Number Information
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NPI Number | 1265272488
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Entity Type | Organization
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Legal Business Name | BESTWAY MIRAGE TRANSPORT SERVICES LLC
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Dates
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Enumeration Date | 05/27/2024
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Last Update Date | 05/27/2024
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Provider Practice Location Address
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Address Line | 1800 WAZEE ST STE 300
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City | DENVER
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State | CO
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Zip | 80202-2526
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Country | US
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Telephone | 720-908-6416
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Fax |
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Provider Business Mailing Address
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Address Line | 14465 MONTVIEW BLVD UNIT 922
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City | AURORA
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State | CO
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Zip | 80011-4311
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Country | US
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Telephone | 720-908-6416
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. JOVANNA PITTMAN
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Credential |
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Telephone | 720-908-6416
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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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