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General NPI Number Information
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NPI Number | 1275902090
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Entity Type | Organization
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Legal Business Name | ARMADA TRANSPORTATION LLC
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Dates
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Enumeration Date | 09/22/2015
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Last Update Date | 09/22/2015
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Provider Practice Location Address
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Address Line | 1891 MCKELVEY HILL DR APT 201
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City | MARYLAND HEIGHTS
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State | MO
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Zip | 63043-3977
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Country | US
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Telephone | 314-489-3949
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Fax |
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Provider Business Mailing Address
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Address Line | 1891 MCKELVEY HILL DR APT 201
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City | MARYLAND HEIGHTS
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State | MO
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Zip | 63043-3977
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Country | US
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Telephone | 314-489-3949
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | RUSTAM SAITOV
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Credential |
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Telephone | 314-489-3949
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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 | 1397037
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License Number State | MO
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