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General NPI Number Information
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NPI Number | 1326562653
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Entity Type | Organization
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Legal Business Name | DELTA MEDICAL TRANSPORTATION
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Dates
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Enumeration Date | 07/28/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 6470 FOOTHILL BLVD # D
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City | TUJUNGA
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State | CA
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Zip | 91042
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Country | US
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Telephone | 818-642-4464
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Fax |
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Provider Business Mailing Address
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Address Line | 6470 FOOTHILL BLVD # D
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City | TUJUNGA
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State | CA
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Zip | 91042-2729
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Country | US
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Telephone | 818-642-4464
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Fax | 818-688-0680
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Authorized Official
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Title or Position | CEO
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Name | DAVIT MKHITARYAN
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Credential |
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Telephone | 818-642-4464
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347E00000X
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Taxonomy Name | Transportation Broker
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License Number |
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License Number State |
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