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General NPI Number Information
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NPI Number | 1578390696
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Entity Type | Organization
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Legal Business Name | ZANOMICS LLC
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Dates
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Enumeration Date | 09/14/2024
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Last Update Date | 09/14/2024
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Provider Practice Location Address
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Address Line | 1100 E 33RD ST APT 426
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City | LOS ANGELES
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State | CA
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Zip | 90011-5919
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Country | US
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Telephone | 708-253-5027
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Fax |
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Provider Business Mailing Address
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Address Line | 4843 TURNER CT
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City | COUNTRY CLUB HILLS
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State | IL
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Zip | 60478-5829
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Country | US
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Telephone | 708-253-5027
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MR. ZANNIE BOWEN
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Credential |
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Telephone | 708-253-5027
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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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