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General NPI Number Information
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NPI Number | 1437603602
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Entity Type | Organization
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Legal Business Name | GOLD COUNTRY TRANSPORTION, INC.
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Dates
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Enumeration Date | 08/05/2016
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Last Update Date | 02/11/2019
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Provider Practice Location Address
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Address Line | 5403 FORBESTOWN RD
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City | FORBESTOWN
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State | CA
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Zip | 95941-9711
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Country | US
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Telephone | 530-477-8294
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 302
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City | FORBESTOWN
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State | CA
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Zip | 95941-0302
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Country | US
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Telephone | 530-477-8294
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JAMIE L HOWELL
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Credential |
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Telephone | 530-477-8294
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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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