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General NPI Number Information
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NPI Number | 1477256873
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Entity Type | Organization
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Legal Business Name | CS2M TRANSPORT LLC
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Dates
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Enumeration Date | 03/24/2023
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Last Update Date | 01/15/2024
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Provider Practice Location Address
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Address Line | 167 BLAKE AVE
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City | SANTA CLARA
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State | CA
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Zip | 95051-6803
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Country | US
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Telephone | 669-212-0811
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Fax |
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Provider Business Mailing Address
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Address Line | 17553 OBERLIN AVE
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City | LATHROP
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State | CA
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Zip | 95330-8376
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ADMIN
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Name | CARMEN BUNO
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Credential |
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Telephone | 680-219-6373
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347E00000X
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Taxonomy Name | Transportation Broker
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License Number |
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License Number State |
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