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General NPI Number Information
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NPI Number | 1497689764
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Entity Type | Organization
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Legal Business Name | MMM BAY AREA TRANSPORTATION
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Dates
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Enumeration Date | 06/11/2026
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Last Update Date | 06/11/2026
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Provider Practice Location Address
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Address Line | 160 CAROL LN
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City | OAKLEY
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State | CA
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Zip | 94561-1602
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Country | US
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Telephone | 925-594-7433
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Fax |
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Provider Business Mailing Address
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Address Line | 2108 N ST STE N
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City | SACRAMENTO
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State | CA
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Zip | 95816-5712
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Country | US
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Telephone | 925-594-7433
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. SELENA TINA PATOLO
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Credential | REGISTERED NURSE
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Telephone | 925-382-2377
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 342000000X
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Taxonomy Name | Transportation Network Company
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License Number |
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License Number State |
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Taxonomy #2
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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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Taxonomy #3
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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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