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General NPI Number Information
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NPI Number | 1376019406
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Entity Type | Organization
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Legal Business Name | NAVAJO CARE TRANS LLC
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Dates
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Enumeration Date | 10/16/2018
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Last Update Date | 10/16/2018
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Provider Practice Location Address
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Address Line | 509 S 48TH ST STE 102
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City | TEMPE
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State | AZ
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Zip | 85281-2322
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Country | US
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Telephone | 844-437-8594
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Fax | 866-577-8431
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Provider Business Mailing Address
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Address Line | 509 S 48TH ST STE 102
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City | TEMPE
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State | AZ
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Zip | 85281-2322
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Country | US
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Telephone | 844-437-8594
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Fax | 866-577-8431
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Authorized Official
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Title or Position | OWNER
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Name | MR. MOHAMED MOHAMED
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Credential |
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Telephone | 602-412-8798
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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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