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General NPI Number Information
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NPI Number | 1548318751
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Entity Type | Organization
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Legal Business Name | ST. ANTHONY MEDICAL TRANSPORTATION, INC.
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Dates
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Enumeration Date | 01/07/2007
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Last Update Date | 11/06/2008
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Provider Practice Location Address
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Address Line | 15120 ATKINSON AVE SUITE # 8
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City | GARDENA
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State | CA
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Zip | 90249-3637
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Country | US
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Telephone | 310-952-1280
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Fax | 818-364-8824
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Provider Business Mailing Address
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Address Line | 15120 ATKINSON AVE SUITE #8
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City | GARDENA
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State | CA
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Zip | 90249-4037
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Country | US
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Telephone | 310-952-1280
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Fax | 818-364-8824
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MR. CESAR BALUYOT RAMOS
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Credential |
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Telephone | 310-952-1280
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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 | MTN01006F
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License Number State | CA
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