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General NPI Number Information
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NPI Number | 1356164032
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Entity Type | Organization
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Legal Business Name | MINA MEDICAL TRANSPORTATION, LLC
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Dates
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Enumeration Date | 11/01/2024
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Last Update Date | 11/01/2024
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Provider Practice Location Address
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Address Line | 21502 WILDCROFT DR
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City | KATY
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State | TX
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Zip | 77449-7412
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Country | US
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Telephone | 281-788-2885
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Fax | 832-240-3368
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Provider Business Mailing Address
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Address Line | 21502 WILDCROFT DR
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City | KATY
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State | TX
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Zip | 77449-7412
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Country | US
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Telephone | 281-788-2885
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Fax | 832-240-3368
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Authorized Official
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Title or Position | OWNER
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Name | BATULA HASSAN ALI
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Credential |
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Telephone | 281-788-2885
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343800000X
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Taxonomy Name | Secured Medical Transport (VAN)
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License Number |
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License Number State |
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