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General NPI Number Information
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NPI Number | 1558189431
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Entity Type | Organization
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Legal Business Name | EVERMORE MOBILE, LLC
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Dates
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Enumeration Date | 09/30/2024
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Last Update Date | 09/30/2024
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Provider Practice Location Address
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Address Line | 1624 MONTE ST
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City | HONOLULU
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State | HI
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Zip | 96819-3733
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Country | US
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Telephone | 808-627-2380
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Fax |
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Provider Business Mailing Address
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Address Line | 1624 MONTE ST
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City | HONOLULU
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State | HI
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Zip | 96819-3733
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Country | US
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Telephone | 808-627-2380
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Fax |
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Authorized Official
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Title or Position | OWNER/ ACCOUNTANT
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Name | MRS. ROSITA AGCAOILI JACINTO
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Credential | NEMT TRANSPORTATION
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Telephone | 808-627-2380
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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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