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General NPI Number Information
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NPI Number | 1447796743
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Entity Type | Organization
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Legal Business Name | DASH-NET NON- EMERGENCY TRANSPORT
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Dates
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Enumeration Date | 01/10/2017
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Last Update Date | 01/10/2017
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Provider Practice Location Address
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Address Line | 6290 FENNWOOD CT APT H
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City | SACRAMENTO
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State | CA
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Zip | 95831-1737
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Country | US
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Telephone | 916-670-5005
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Fax |
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Provider Business Mailing Address
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Address Line | 6290 FENNWOOD COURT # H
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City | SACRAMENTO
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State | CA
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Zip | 95831
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Country | US
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Telephone | 916-670-5005
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Fax |
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Authorized Official
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Title or Position | ONWER
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Name | REGINALD VAN HILL
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Credential | 12281964
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Telephone | 916-670-5005
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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 | 1027764
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License Number State | CA
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