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General NPI Number Information
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NPI Number | 1558592253
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Entity Type | Organization
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Legal Business Name | AZ MED TRANSPORTATION
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Dates
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Enumeration Date | 07/30/2009
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Last Update Date | 07/30/2009
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Provider Practice Location Address
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Address Line | 21947 N 78TH ST
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City | SCOTTSDALE
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State | AZ
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Zip | 85255-4013
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Country | US
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Telephone | 480-479-3997
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Fax |
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Provider Business Mailing Address
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Address Line | 21947 N 78TH ST
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City | SCOTTSDALE
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State | AZ
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Zip | 85255-4013
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Country | US
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Telephone | 480-479-3997
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Fax |
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Authorized Official
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Title or Position | DR.
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Name | AMEEN ELGASH
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Credential |
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Telephone | 480-473-9397
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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 | NA
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License Number State | AZ
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