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General NPI Number Information
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NPI Number | 1285914945
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Entity Type | Organization
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Legal Business Name | UNITED PLUS LLC
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Dates
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Enumeration Date | 08/25/2011
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Last Update Date | 04/04/2020
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Provider Practice Location Address
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Address Line | 3530 BREAKWATER CT
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City | HAYWARD
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State | CA
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Zip | 94545-3611
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Country | US
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Telephone | 510-363-8992
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Fax | 650-525-1155
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Provider Business Mailing Address
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Address Line | 1181 CHESS DR SUITE E
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City | FOSTER CITY
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State | CA
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Zip | 94404-1150
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Country | US
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Telephone | 650-525-1295
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Fax | 650-525-1155
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Authorized Official
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Title or Position | PRESIDENT / CEO
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Name | MR. CHRISTOPHER ROBIN MOESSMER
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Credential |
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Telephone | 650-242-2977
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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 | 110001024B
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 2045
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License Number State | CA
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