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General NPI Number Information
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NPI Number | 1548814858
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Entity Type | Organization
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Legal Business Name | STAR NON-EMERGENCY MEDICAL TRANSPORTATION, INC
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Dates
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Enumeration Date | 07/25/2019
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Last Update Date | 07/25/2019
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Provider Practice Location Address
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Address Line | 7959 CROSNOE AVE
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City | PANORAMA CITY
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State | CA
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Zip | 91402-6417
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Country | US
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Telephone | 818-400-8092
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Fax | 818-290-3851
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Provider Business Mailing Address
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Address Line | 7020 LENNOX AVE APT 7
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City | VAN NUYS
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State | CA
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Zip | 91405-3181
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Country | US
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Telephone | 818-400-8092
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Fax | 818-290-3851
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. LUSINE SAHAKYAN
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Credential |
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Telephone | 818-400-8092
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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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