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General NPI Number Information
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NPI Number | 1427691773
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Entity Type | Organization
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Legal Business Name | 2MEDACCESS TRANSPORTATION LLC
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Dates
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Enumeration Date | 10/18/2019
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Last Update Date | 11/03/2025
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Provider Practice Location Address
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Address Line | 1425 W 5TH ST STE 4
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City | WATERLOO
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State | IA
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Zip | 50702-2951
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Country | US
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Telephone | 319-252-4655
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Fax |
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Provider Business Mailing Address
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Address Line | 1024 4TH ST SW
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City | WAVERLY
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State | IA
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Zip | 50677-3753
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Country | US
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Telephone | 319-252-4655
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. NIGIBIRA NELSON MBABAYE
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Credential |
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Telephone | 651-478-7504
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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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