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General NPI Number Information
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NPI Number | 1609753300
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Entity Type | Organization
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Legal Business Name | PROCARE TRANSPORTATION LLC
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Dates
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Enumeration Date | 08/18/2025
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 1396 CLAY ST NE
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City | SALEM
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State | OR
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Zip | 97301-1947
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Country | US
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Telephone | 651-529-7356
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Fax | 503-506-0620
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Provider Business Mailing Address
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Address Line | 1396 CLAY ST NE
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City | SALEM
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State | OR
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Zip | 97301-1947
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Country | US
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Telephone | 651-529-7356
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Fax | 503-506-0620
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Authorized Official
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Title or Position | DIRECTOR
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Name | ALEM DESTA
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Credential |
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Telephone | 651-529-7356
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 344600000X
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Taxonomy Name | Taxi
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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 | 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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