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General NPI Number Information
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NPI Number | 1336423037
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Entity Type | Organization
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Legal Business Name | ALLIANCE MEDICAL TRANSPORT LLC
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Dates
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Enumeration Date | 09/29/2011
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Last Update Date | 01/11/2013
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Provider Practice Location Address
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Address Line | 1122 B ST SUITE 307
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City | HAYWARD
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State | CA
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Zip | 94541-4227
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Country | US
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Telephone | 510-764-1823
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Fax |
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Provider Business Mailing Address
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Address Line | 1122 B ST SUITE 307
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City | HAYWARD
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State | CA
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Zip | 94541-4227
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Country | US
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Telephone | 510-764-1823
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Fax | 510-430-2633
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Authorized Official
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Title or Position | PRESIDENT
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Name | FIITA GEAY
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Credential |
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Telephone | 800-228-3577
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 28031379
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number | 124836
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License Number State | CA
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