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General NPI Number Information
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NPI Number | 1346457454
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Entity Type | Organization
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Legal Business Name | RIVER VALLEY TRANSPORT
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Dates
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Enumeration Date | 05/17/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5520 N MCCOLL SUITE B
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City | MCALLEN
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State | TX
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Zip | 78501
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Country | US
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Telephone | 956-630-2370
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Fax |
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Provider Business Mailing Address
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Address Line | 3702 CANDO MUNGUIA ST
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City | MISSION
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State | TX
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Zip | 78572
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Country | US
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Telephone | 956-227-2659
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | FRANK MATILDE GONZALEZ
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Credential |
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Telephone | 956-227-2659
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 108062
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License Number State | TX
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