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General NPI Number Information
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NPI Number | 1285957472
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Entity Type | Organization
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Legal Business Name | LA CAR SERVICE
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Dates
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Enumeration Date | 03/02/2010
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Last Update Date | 03/02/2010
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Provider Practice Location Address
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Address Line | 11178 WESTMINSTER AVE APT E
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City | LOS ANGELES
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State | CA
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Zip | 90034-6518
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Country | US
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Telephone | 310-452-3002
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Fax | 310-313-5218
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Provider Business Mailing Address
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Address Line | 1158 26TH ST # 740
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City | SANTA MONICA
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State | CA
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Zip | 90403-4698
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Country | US
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Telephone | 310-452-3002
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Fax | 310-313-5218
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Authorized Official
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Title or Position | PRESIDENT
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Name | KAYA KOUVONEN
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Credential |
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Telephone | 310-452-3002
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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 | TCP 19221
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License Number State | CA
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