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General NPI Number Information
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NPI Number | 1326887365
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Entity Type | Organization
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Legal Business Name | SUBLIME MEDICAL TRANSPORT LLC
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Dates
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Enumeration Date | 05/20/2024
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Last Update Date | 05/20/2024
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Provider Practice Location Address
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Address Line | 220 AMORE CT UNIT 240
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City | GONZALES
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State | CA
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Zip | 93926-2728
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Country | US
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Telephone | 831-256-5882
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Fax |
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Provider Business Mailing Address
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Address Line | 2277 PEREZ ST APT 240
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City | SALINAS
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State | CA
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Zip | 93906-1769
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Country | US
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Telephone | 831-256-5882
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Fax |
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Authorized Official
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Title or Position | BUSINESS DEVELOPMENT DIRECTOR
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Name | MUNASHE DAVIES GUMBO
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Credential |
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Telephone | 916-706-8712
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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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