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General NPI Number Information
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NPI Number | 1508290073
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Entity Type | Organization
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Legal Business Name | KIDZ FIRST TRANSIT
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Dates
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Enumeration Date | 09/02/2013
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Last Update Date | 09/02/2013
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Provider Practice Location Address
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Address Line | 2063 MAIN ST #416
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City | OAKLEY
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State | CA
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Zip | 94561-3302
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Country | US
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Telephone | 925-679-9066
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Fax | 925-281-9102
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Provider Business Mailing Address
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Address Line | 2063 MAIN ST #416
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City | OAKLEY
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State | CA
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Zip | 94561-3302
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Country | US
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Telephone | 925-679-9066
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Fax | 925-281-9102
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Authorized Official
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Title or Position | OWNER
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Name | DONNA LOCKWOOD
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Credential |
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Telephone | 925-679-9066
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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 | PUC 24117
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License Number State | CA
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