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General NPI Number Information
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NPI Number | 1538462494
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Entity Type | Organization
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Legal Business Name | GET THERE MED TRANSPORT, LLC
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Dates
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Enumeration Date | 12/15/2010
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Last Update Date | 12/15/2010
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Provider Practice Location Address
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Address Line | 333 SANTANA ROW STE. 318
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City | SAN JOSE
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State | CA
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Zip | 95128-2000
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Country | US
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Telephone | 408-674-7477
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Fax |
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Provider Business Mailing Address
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Address Line | 1463 NESBIT CT
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City | SAN JOSE
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State | CA
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Zip | 95120-3850
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Country | US
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Telephone | 408-639-1961
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Fax | 408-516-8333
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Authorized Official
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Title or Position | CEO
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Name | MS. JONA DIZON ROMUALDEZ
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Credential |
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Telephone | 408-674-7477
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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 |
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License Number State | CA
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