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General NPI Number Information
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NPI Number | 1376096883
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Entity Type | Organization
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Legal Business Name | ALL COUNTIES TRANSPORT
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Dates
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Enumeration Date | 08/01/2016
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Last Update Date | 08/01/2016
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Provider Practice Location Address
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Address Line | 803 JAVA AVE APT 11 SUITE# 11
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City | INGLEWOOD
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State | CA
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Zip | 90301-0926
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Country | US
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Telephone | 612-222-0421
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Fax |
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Provider Business Mailing Address
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Address Line | 803 JAVA AVE APT 11 SUITE# 11
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City | INGLEWOOD
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State | CA
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Zip | 90301-0926
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Country | US
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Telephone | 612-222-0421
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. SAHARDIDID A HUSSEIN
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Credential | SAHARDID
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Telephone | 612-222-0421
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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 | ALLCOUNTIES1
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License Number State | CA
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