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General NPI Number Information
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NPI Number | 1598141038
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Entity Type | Organization
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Legal Business Name | OMNITRANSIT LLC
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Dates
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Enumeration Date | 08/06/2015
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Last Update Date | 11/03/2023
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Provider Practice Location Address
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Address Line | 1403 BIRDS FORT TRL
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City | ARLINGTON
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State | TX
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Zip | 76005-1244
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Country | US
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Telephone | 469-247-1824
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Fax |
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Provider Business Mailing Address
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Address Line | 14625 CRYSTAL LAKE DR
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City | LITTLE ELM
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State | TX
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Zip | 75068-2767
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Country | US
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Telephone | 469-247-1824
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | PAUL MUTABARUKA
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Credential |
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Telephone | 469-247-1824
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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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 | TX
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