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General NPI Number Information
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NPI Number | 1346432937
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Entity Type | Organization
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Legal Business Name | BAYMED EXPRESS, INC.
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Dates
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Enumeration Date | 08/16/2007
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Last Update Date | 09/24/2013
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Provider Practice Location Address
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Address Line | 1408 YOSEMITE AVE
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City | SAN FRANCISCO
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State | CA
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Zip | 94124
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Country | US
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Telephone | 415-561-0628
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Fax | 415-561-0621
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Provider Business Mailing Address
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Address Line | 674 42ND AVE
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City | SAN FRANCISCO
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State | CA
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Zip | 94121-2533
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Country | US
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Telephone | 415-221-7188
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Fax | 415-561-0621
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MR. SEMYON PORTNOY
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Credential |
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Telephone | 415-561-0629
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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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