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General NPI Number Information
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NPI Number | 1326104621
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Entity Type | Organization
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Legal Business Name | VITASMEDTRANS,INC
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Dates
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Enumeration Date | 12/29/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4516 SEVENOAKS CT
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City | WESTLAKE VILLAGE
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State | CA
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Zip | 91361-4311
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Country | US
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Telephone | 818-761-9784
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Fax | 818-761-9786
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Provider Business Mailing Address
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Address Line | 5118 VINELAND AVE FL 2
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91601-3814
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Country | US
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Telephone | 818-761-9784
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Fax | 818-761-9786
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. VILORY MEZHERITSKY
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Credential |
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Telephone | 818-761-9784
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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 | MTN00523F
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License Number State | CA
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