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General NPI Number Information
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NPI Number | 1396063475
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Entity Type | Organization
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Legal Business Name | C & R MEDICAL TRANSPORTATION
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Dates
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Enumeration Date | 05/13/2010
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Last Update Date | 05/13/2010
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Provider Practice Location Address
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Address Line | 16350 S HARBOR BLVD #1106
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City | SANTA ANA
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State | CA
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Zip | 92704-3848
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Country | US
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Telephone | 714-839-2611
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Fax | 714-839-2611
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Provider Business Mailing Address
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Address Line | 16350 S. HARBOR BLVD #1106
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708
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Country | US
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Telephone | 714-839-2611
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Fax | 714-839-2611
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Authorized Official
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Title or Position | GENERAL PARTNER
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Name | MS. ROSA MARIA FLORES
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Credential |
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Telephone | 714-839-2611
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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 | 330653
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License Number State | CA
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