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General NPI Number Information
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NPI Number | 1275776296
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Entity Type | Organization
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Legal Business Name | SMS MEDICAL TRANSPORTATION
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Dates
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Enumeration Date | 04/07/2009
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Last Update Date | 04/07/2009
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Provider Practice Location Address
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Address Line | 1308 W EL SEGUNDO BLVD
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City | GARDENA
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State | CA
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Zip | 90247-1524
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Country | US
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Telephone | 310-527-9200
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Fax |
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Provider Business Mailing Address
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Address Line | 1308 W EL SEGUNDO BLVD
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City | GARDENA
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State | CA
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Zip | 90247-1524
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Country | US
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Telephone | 310-527-9200
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JOHN W. HARRIS
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Credential |
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Telephone | 213-489-5367
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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 | C1749726
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License Number State | CA
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