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General NPI Number Information
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NPI Number | 1457917858
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Entity Type | Organization
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Legal Business Name | ABC MEDICAL TRANSPORTATION
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Dates
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Enumeration Date | 05/13/2019
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Last Update Date | 05/13/2019
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Provider Practice Location Address
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Address Line | 9309 STARFISH WAY
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City | ELK GROVE
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State | CA
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Zip | 95758-6901
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Country | US
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Telephone | 916-798-3564
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Fax |
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Provider Business Mailing Address
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Address Line | 9309 STARFISH WAY
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City | ELK GROVE
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State | CA
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Zip | 95758-6901
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Country | US
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Telephone | 916-798-3564
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Fax |
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | MR. LACHMI PRASAD
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Credential |
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Telephone | 916-798-3564
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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