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General NPI Number Information
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NPI Number | 1548085251
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Entity Type | Organization
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Legal Business Name | ENSIGN SAHOTA, LLC
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Dates
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Enumeration Date | 11/18/2024
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Last Update Date | 11/18/2024
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Provider Practice Location Address
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Address Line | 1129 INDUSTRIAL AVE STE 207
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City | PETALUMA
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State | CA
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Zip | 94952-6529
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Country | US
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Telephone | 707-292-9018
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Fax |
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Provider Business Mailing Address
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Address Line | 1010 GINKGO PL
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City | WINDSOR
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State | CA
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Zip | 95492-8173
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Country | US
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Telephone | 707-292-9018
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Fax |
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Authorized Official
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Title or Position | OWNER/MEMBER
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Name | EMILY S SAHOTA
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Credential | RN
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Telephone | 707-292-9018
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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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