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General NPI Number Information
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NPI Number | 1306175757
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Entity Type | Organization
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Legal Business Name | M&B TRANSPORTATION WITH CARE INC
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Dates
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Enumeration Date | 12/14/2009
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Last Update Date | 12/14/2009
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Provider Practice Location Address
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Address Line | 11263 REGENTVIEW AVE
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City | DOWNEY
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State | CA
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Zip | 90241-5513
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Country | US
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Telephone | 562-481-6005
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Fax | 562-862-5606
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Provider Business Mailing Address
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Address Line | PO BOX 59024
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City | NORWALK
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State | CA
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Zip | 90652-0024
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Country | US
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Telephone | 562-481-6005
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Fax | 562-862-5606
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MR. LUIS BRAVO I
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Credential |
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Telephone | 562-481-6005
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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 |
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License Number State |
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