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General NPI Number Information
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NPI Number | 1538787387
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Entity Type | Organization
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Legal Business Name | ABLE CARE TRANSPORTATION INC.
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Dates
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Enumeration Date | 07/08/2020
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Last Update Date | 09/28/2021
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Provider Practice Location Address
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Address Line | 7415 MCCLELLAN CT
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City | FONTANA
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State | CA
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Zip | 92336-5434
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Country | US
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Telephone | 909-549-3815
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Fax |
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Provider Business Mailing Address
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Address Line | 11060 REMINGTON CT
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City | ADELANTO
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State | CA
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Zip | 92301-6138
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Country | US
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Telephone | 909-549-3815
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | CARL REQUINTINA
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Credential |
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Telephone | 909-549-3815
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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 |
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