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General NPI Number Information
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NPI Number | 1548000177
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Entity Type | Organization
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Legal Business Name | MOMAX FAST CARE NON EMERGENCY TRANSPORTATION LLC
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Dates
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Enumeration Date | 05/30/2024
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Last Update Date | 06/05/2024
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Provider Practice Location Address
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Address Line | 4383 JEBEL ST
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City | DENVER
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State | CO
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Zip | 80249-6935
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Country | US
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Telephone | 720-825-2467
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Fax |
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Provider Business Mailing Address
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Address Line | 4383 JEBEL ST
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City | DENVER
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State | CO
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Zip | 80249-6935
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Country | US
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Telephone | 720-825-2467
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. MUHAMMADI LUBOWA
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Credential | MR.
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Telephone | 720-825-2467
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347E00000X
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Taxonomy Name | Transportation Broker
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License Number |
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License Number State |
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Taxonomy #2
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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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