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General NPI Number Information
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NPI Number | 1366965667
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Entity Type | Organization
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Legal Business Name | 3 VEST MEDICAL TRANSPORTATION WC LLC
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Dates
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Enumeration Date | 07/19/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 3256 RURAL LANE
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City | CORONA
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State | CA
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Zip | 92882
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Country | US
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Telephone | 951-314-4380
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Fax | 951-547-0019
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Provider Business Mailing Address
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Address Line | 3256 RURAL LN
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City | CORONA
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State | CA
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Zip | 92882-8378
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Country | US
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Telephone | 951-314-4380
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Fax | 951-547-0019
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Authorized Official
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Title or Position | MEMBER
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Name | MR. BRANDON DAVIS SR.
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Credential |
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Telephone | 951-314-4380
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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 |
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License Number State |
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