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General NPI Number Information
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NPI Number | 1528782950
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Entity Type | Organization
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Legal Business Name | EDEM NON EMERGENCY MEDICAL TRANSPORTATION
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Dates
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Enumeration Date | 09/29/2022
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Last Update Date | 09/29/2022
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Provider Practice Location Address
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Address Line | 3403 W T C JESTER BLVD STE 1236
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City | HOUSTON
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State | TX
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Zip | 77018-5044
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Country | US
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Telephone | 786-923-7979
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Fax |
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Provider Business Mailing Address
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Address Line | 3403 W T C JESTER BLVD STE 1236
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City | HOUSTON
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State | TX
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Zip | 77018-5044
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Country | US
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Telephone | 786-923-7979
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | OLSON NORCIUS
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Credential |
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Telephone | 786-923-7979
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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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