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General NPI Number Information
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NPI Number | 1588043574
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Entity Type | Organization
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Legal Business Name | CENTRAL VALLEY TRANSPORT
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Dates
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Enumeration Date | 05/22/2015
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Last Update Date | 05/22/2015
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Provider Practice Location Address
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Address Line | 5670 N SYCAMORE AVE
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City | FRESNO
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State | CA
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Zip | 93723-4002
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Country | US
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Telephone | 559-385-4702
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Fax | 559-374-6890
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Provider Business Mailing Address
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Address Line | 6083 N. FIGARDEN DR. #214
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City | FRESNO
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State | CA
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Zip | 93722
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Country | US
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Telephone | 559-385-4702
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Fax | 559-374-6890
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Authorized Official
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Title or Position | CEO
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Name | RUBEN MAGALLANES
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Credential |
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Telephone | 559-385-4702
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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 | 201406410169
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License Number State | CA
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