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General NPI Number Information
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NPI Number | 1437560166
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Entity Type | Organization
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Legal Business Name | NON EMERGENCY TRANSPORTATION LLC
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Dates
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Enumeration Date | 05/15/2014
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Last Update Date | 05/15/2014
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Provider Practice Location Address
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Address Line | 102 TERRAZA VISTA BAHIA
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City | SAN CLEMENTE
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State | CA
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Zip | 92672-3151
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Country | US
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Telephone | 949-632-7124
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Fax | 949-361-5076
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Provider Business Mailing Address
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Address Line | 63 VIA PICO PLZ # 186
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City | SAN CLEMENTE
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State | CA
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Zip | 92672-3998
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Country | US
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Telephone | 949-361-5553
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Fax | 949-361-5076
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Authorized Official
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Title or Position | OWNER
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Name | ELINOR RUDOLPH
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Credential |
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Telephone | 949-632-7124
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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 | CA
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