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General NPI Number Information
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NPI Number | 1548430564
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Entity Type | Organization
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Legal Business Name | AGAT CORPORATION
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Dates
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Enumeration Date | 03/05/2008
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Last Update Date | 12/06/2010
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Provider Practice Location Address
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Address Line | 860 S WINCHESTER BLVD STE E
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City | SAN JOSE
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State | CA
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Zip | 95128-2962
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Country | US
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Telephone | 408-218-0743
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Fax | 408-879-9119
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Provider Business Mailing Address
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Address Line | 860 S WINCHESTER BLVD STE E
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City | SAN JOSE
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State | CA
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Zip | 95128-2962
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Country | US
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Telephone | 408-218-0743
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Fax | 408-879-9119
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Authorized Official
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Title or Position | CEO
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Name | MRS. MARINA TOROSYAN
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Credential |
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Telephone | 408-218-0743
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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 | 231314
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License Number State | CA
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