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General NPI Number Information
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NPI Number | 1497284749
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Entity Type | Organization
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Legal Business Name | ARDOR MEDICAL TRANSPORTATION
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Dates
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Enumeration Date | 06/09/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 7236 GREENHAVEN DR APT 108
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City | SACRAMENTO
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State | CA
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Zip | 95831-3546
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Country | US
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Telephone | 916-752-4692
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Fax |
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Provider Business Mailing Address
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Address Line | 7236 GREENHAVEN DR #108
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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 | 916-752-4692
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | NAYCORA FAUNTLEROY
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Credential |
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Telephone | 916-752-4692
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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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