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General NPI Number Information
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NPI Number | 1346696820
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Entity Type | Organization
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Legal Business Name | SAMS CARE TRANSPORTATION LLC
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Dates
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Enumeration Date | 05/13/2016
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Last Update Date | 05/13/2016
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Provider Practice Location Address
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Address Line | 4616 CONWELL DR
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City | ANNANDALE
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State | VA
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Zip | 22003-3521
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Country | US
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Telephone | 571-278-5347
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Fax |
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Provider Business Mailing Address
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Address Line | 4616 CONWELL DRIVE
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City | ANNANDALE
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State | VA
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Zip | 22003
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Country | US
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Telephone | 571-278-5347
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | EDWARD SAM
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Credential |
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Telephone | 571-276-6006
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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 | 345
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License Number State | VA
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