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General NPI Number Information
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NPI Number | 1609317130
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Entity Type | Organization
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Legal Business Name | CYRUS SERVICES INC.
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Dates
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Enumeration Date | 03/16/2017
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Last Update Date | 03/16/2017
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Provider Practice Location Address
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Address Line | 15720 VENTURA BLVD STE 419
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City | ENCINO
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State | CA
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Zip | 91436-4790
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Country | US
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Telephone | 877-788-8771
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Fax | 877-787-7759
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Provider Business Mailing Address
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Address Line | 15720 VENTURA BLVD STE 419
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City | ENCINO
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State | CA
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Zip | 91436-4790
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Country | US
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Telephone | 877-788-8771
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Fax | 877-787-7759
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Authorized Official
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Title or Position | OWNER
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Name | MR. REZA MOMENI
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Credential |
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Telephone | 877-788-8771
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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 | 059152
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License Number State | CA
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