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General NPI Number Information
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NPI Number | 1518282052
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Entity Type | Organization
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Legal Business Name | HM TRANSIT
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Dates
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Enumeration Date | 03/27/2010
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Last Update Date | 03/27/2010
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Provider Practice Location Address
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Address Line | 2030 E BROADWAY RD # 1003
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City | TEMPE
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State | AZ
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Zip | 85282-1744
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Country | US
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Telephone | 602-367-3794
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Fax | 251-217-5317
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Provider Business Mailing Address
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Address Line | 2030 E BROADWAY RD # 1003
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City | TEMPE
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State | AZ
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Zip | 85282-1744
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Country | US
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Telephone | 602-367-3794
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Fax | 251-217-5317
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Authorized Official
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Title or Position | OWNER
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Name | MR. ELTAYEB YAGOUB MOHAMED SHARIF
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Credential | BS
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Telephone | 602-367-3794
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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 | 504500
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License Number State | AZ
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