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NPI 1275216475

NPI 1275216475 : WHEELS OF LOVE TRANSPORTATION : SAN ANTONIO, TX

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General NPI Number Information
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    NPI Number           |    1275216475
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    Entity Type          |    Organization 
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    Legal Business Name  |    WHEELS OF LOVE TRANSPORTATION 
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Dates
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    Enumeration Date     |    08/14/2023
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    Last Update Date     |    10/11/2023
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Provider Practice Location Address
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    Address Line         |    5010 SUMMIT PASS APT 3 
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78229-6135
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    Country              |    US
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    Telephone            |    414-517-7729
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5010 SUMMIT PASS APT 3 
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78229-6135
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    Country              |    US
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    Telephone            |    414-517-7729
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     NATARA  WILSON 
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    Credential           |    
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    Telephone            |    414-517-7729
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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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Taxonomy #2
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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 #3
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    Taxonomy Code        |    343800000X
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    Taxonomy Name        |    Secured Medical Transport (VAN)
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    License Number       |    
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    License Number State |    
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