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General NPI Number Information
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NPI Number | 1407105638
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Entity Type | Organization
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Legal Business Name | VEKIEL
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Dates
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Enumeration Date | 09/04/2012
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Last Update Date | 10/09/2012
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Provider Practice Location Address
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Address Line | 10757 LEMON AVE APT 1224
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91737-6948
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Country | US
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Telephone | 909-972-6545
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 991
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91729-0991
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Country | US
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Telephone | 909-972-6545
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANDREW ADDY
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Credential |
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Telephone | 909-972-6545
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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 | 201210810014
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 3418M1110X
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Taxonomy Name | Military or U.S. Coast Guard Ground Transport Ambulance
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License Number | 201210810014
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 347B00000X
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Taxonomy Name | Bus
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License Number | 201210810014
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 201210810014
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License Number State | CA
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