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General NPI Number Information
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NPI Number | 1366739161
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Entity Type | Organization
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Legal Business Name | QUALITY CARE TRANSPORTATION COMPANY
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Dates
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Enumeration Date | 06/30/2011
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Last Update Date | 07/02/2011
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Provider Practice Location Address
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Address Line | 2549 S ADVENTURE TRL
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City | VIRGINIA BEACH
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State | VA
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Zip | 23454-5204
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Country | US
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Telephone | 757-965-2555
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Fax | 757-965-2555
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Provider Business Mailing Address
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Address Line | 2549 S ADVENTURE TRL
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City | VIRGINIA BEACH
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State | VA
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Zip | 23454-5204
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Country | US
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Telephone | 757-965-2555
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Fax | 757-965-2555
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Authorized Official
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Title or Position | OWNER
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Name | RAMA JORDAN
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Credential |
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Telephone | 757-965-2555
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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 | 135051-0000-4700
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License Number State | VA
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