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General NPI Number Information
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NPI Number | 1407637788
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Entity Type | Organization
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Legal Business Name | BMM NON MEDICAL TRASPORT LLC
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Dates
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Enumeration Date | 10/11/2023
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Last Update Date | 10/12/2023
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Provider Practice Location Address
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Address Line | 3517 MARCONI AVE STE 107C1
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City | SACRAMENTO
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State | CA
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Zip | 95821-5328
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Country | US
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Telephone | 916-885-9054
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Fax | 877-496-9976
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Provider Business Mailing Address
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Address Line | 3517 MARCONI AVE STE 3517
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City | SACRAMENTO
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State | CA
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Zip | 95821-5328
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Country | US
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Telephone | 916-885-9054
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Fax | 877-496-9976
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Authorized Official
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Title or Position | OWNER
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Name | MASRESHAW TEBEJE
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Credential |
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Telephone | 916-855-9054
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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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