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General NPI Number Information
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NPI Number | 1356058952
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Entity Type | Organization
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Legal Business Name | DOCTORS CHOICE NEMT
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Dates
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Enumeration Date | 11/02/2022
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Last Update Date | 11/02/2022
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Provider Practice Location Address
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Address Line | 26029 CHATEAU CT
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City | MORENO VALLEY
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State | CA
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Zip | 92555-1772
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Country | US
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Telephone | 951-675-1884
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Fax | 833-965-0884
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Provider Business Mailing Address
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Address Line | 26029 CHATEAU CT
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City | MORENO VALLEY
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State | CA
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Zip | 92555-1772
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Country | US
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Telephone | 951-675-1884
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Fax | 833-965-0884
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Authorized Official
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Title or Position | PRESIDENT
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Name | KANWAL RANDHAWA
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Credential |
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Telephone | 951-675-1884
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347E00000X
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Taxonomy Name | Transportation Broker
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License Number |
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License Number State |
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