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General NPI Number Information
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NPI Number | 1609752054
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Entity Type | Organization
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Legal Business Name | FOX MEDICAL TRANSPORT LLC
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Dates
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Enumeration Date | 08/12/2025
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 769 S 2ND ST
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City | BRAWLEY
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State | CA
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Zip | 92227-3805
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Country | US
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Telephone | 760-550-1935
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Fax | 760-550-1935
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Provider Business Mailing Address
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Address Line | PO BOX 102
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City | BRAWLEY
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State | CA
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Zip | 92227-0102
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Country | US
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Telephone | 760-550-1935
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | BENJAMIN SANDOVAL ESPARZA
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Credential |
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Telephone | 760-550-1935
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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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