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General NPI Number Information
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NPI Number | 1508558685
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Entity Type | Organization
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Legal Business Name | CEECCIL QUALITY CARE TRANSPORTATION LLC
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Dates
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Enumeration Date | 05/25/2023
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Last Update Date | 07/03/2023
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Provider Practice Location Address
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Address Line | 2720 E YAMPA ST STE 2A
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City | COLORADO SPRINGS
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State | CO
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Zip | 80909-5061
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Country | US
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Telephone | 888-906-0669
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Fax |
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Provider Business Mailing Address
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Address Line | 3349 N ADAMS ST
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City | DENVER
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State | CO
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Zip | 80205-4313
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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 | BUSINESS OWNER
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Name | MOHAMED SALAH BUSHRA OSMAN
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Credential |
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Telephone | 720-669-0696
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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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