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General NPI Number Information
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NPI Number | 1558413021
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Entity Type | Organization
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Legal Business Name | ALMAZ TRANSPORTATION LLC
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Dates
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Enumeration Date | 01/17/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4457 GILMER LANE
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City | RICHMOND HEIGHTS
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State | OH
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Zip | 44124-2611
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Country | US
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Telephone | 216-355-9804
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Fax |
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Provider Business Mailing Address
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Address Line | 4457 GILMER LANE
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City | RICHMOND HEIGHTS
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State | OH
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Zip | 44124-2611
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Country | US
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Telephone | 216-355-9804
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ILIL ZARBAILOV
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Credential | AMBULLETE
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Telephone | 216-355-9804
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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 | 186595
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License Number State | OH
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