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General NPI Number Information
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NPI Number | 1306011697
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Entity Type | Organization
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Legal Business Name | SW METRO MOBILITY, LLC
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Dates
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Enumeration Date | 04/28/2008
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Last Update Date | 04/28/2008
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Provider Practice Location Address
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Address Line | 6839 S WEBSTER ST UNIT C
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City | LITTLETON
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State | CO
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Zip | 80128-4478
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Country | US
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Telephone | 720-298-8310
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Fax |
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Provider Business Mailing Address
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Address Line | 6839 S WEBSTER ST UNIT C
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City | LITTLETON
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State | CO
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Zip | 80128-4478
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Country | US
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Telephone | 720-298-8310
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | ROBERT PAUL THOMAS
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Credential |
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Telephone | 720-298-8310
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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 | 465-ONK
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License Number State | CO
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