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General NPI Number Information
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NPI Number | 1477364537
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Entity Type | Organization
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Legal Business Name | KINGS GROUP HOLDING
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Dates
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Enumeration Date | 01/17/2025
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Last Update Date | 01/17/2025
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Provider Practice Location Address
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Address Line | 1118 REXFORD DR APT 2
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City | LOS ANGELES
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State | CA
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Zip | 90035-1231
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Country | US
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Telephone | 323-570-5176
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Fax |
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Provider Business Mailing Address
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Address Line | 9663 SANTA MONICA BLVD STE 920
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City | BEVERLY HILLS
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State | CA
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Zip | 90210-4303
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Country | US
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Telephone | 323-570-5176
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Fax |
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Authorized Official
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Title or Position | MR
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Name | SUNNY EME
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Credential |
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Telephone | 323-570-5176
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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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