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General NPI Number Information
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NPI Number | 1518851203
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Entity Type | Organization
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Legal Business Name | A V MEDICAL TRANSPORTATION LLC
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Dates
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Enumeration Date | 06/06/2025
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Last Update Date | 06/06/2025
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Provider Practice Location Address
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Address Line | 12144 BREMERTON WAY
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City | LOS ANGELES
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State | CA
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Zip | 90061-1728
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Country | US
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Telephone | 323-678-1122
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Fax |
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Provider Business Mailing Address
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Address Line | 12144 BREMERTON WAY
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City | LOS ANGELES
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State | CA
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Zip | 90061-1728
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Country | US
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Telephone | 323-678-1122
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Fax |
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Authorized Official
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Title or Position | DRIVER
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Name | ANGELICA M VEGA
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Credential |
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Telephone | 310-617-8248
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 172A00000X
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Taxonomy Name | Driver
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License Number |
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License Number State |
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