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General NPI Number Information
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NPI Number | 1275899429
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Entity Type | Organization
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Legal Business Name | INDIAN HEALTH SERVICES TRANSPORTATION MANAGEMENT
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Dates
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Enumeration Date | 04/02/2012
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Last Update Date | 04/02/2012
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Provider Practice Location Address
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Address Line | 7137 S 13TH WAY
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City | PHOENIX
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State | AZ
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Zip | 85042-5677
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Country | US
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Telephone | 347-839-6702
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Fax |
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Provider Business Mailing Address
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Address Line | 7137 S 13TH WAY
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City | PHOENIX
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State | AZ
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Zip | 85042-5677
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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 | ELMOIZ ABDOUN
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Credential |
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Telephone | 347-839-6702
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 344600000X
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Taxonomy Name | Taxi
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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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