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General NPI Number Information
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NPI Number | 1568634111
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Entity Type | Organization
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Legal Business Name | SHAFI MEDICAL TRANSPORTATION LLC
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Dates
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Enumeration Date | 03/24/2008
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Last Update Date | 03/24/2008
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Provider Practice Location Address
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Address Line | 2819 HILLIARD ROAD #L
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City | RICHMOND
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State | VA
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Zip | 23228
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Country | US
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Telephone | 804-874-2736
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Fax | 804-266-4881
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Provider Business Mailing Address
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Address Line | PO BOX 9612
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City | ROCHMOND
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State | VA
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Zip | 23228
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Country | US
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Telephone | 804-874-2796
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Fax | 804-266-4881
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. HASSAN ADAM KHAMIS
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Credential |
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Telephone | 804-874-2736
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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 | VA
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