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General NPI Number Information
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NPI Number | 1306029962
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Entity Type | Organization
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Legal Business Name | VASO
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Dates
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Enumeration Date | 12/06/2007
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Last Update Date | 12/06/2007
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Provider Practice Location Address
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Address Line | 2626 S MOONEY BLVD STE CD3
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City | VISALIA
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State | CA
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Zip | 93277-6203
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Country | US
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Telephone | 559-636-7999
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Fax |
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Provider Business Mailing Address
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Address Line | 2626 S MOONEY BLVD STE CD3
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City | VISALIA
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State | CA
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Zip | 93277-6203
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Country | US
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Telephone | 559-636-7999
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | VARSENIK H KESHISHYAN
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Credential |
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Telephone | 559-636-7999
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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 | BL023813
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License Number State | CA
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