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General NPI Number Information
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NPI Number | 1619745379
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Entity Type | Organization
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Legal Business Name | APOLLO MEDICAL TRANSPORTATION LLC
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Dates
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Enumeration Date | 12/12/2023
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Last Update Date | 12/12/2023
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Provider Practice Location Address
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Address Line | 1049 BROADWAY
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City | EL CAJON
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State | CA
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Zip | 92021-4804
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Country | US
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Telephone | 619-707-8006
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Fax |
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Provider Business Mailing Address
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Address Line | 9942 BUENA VISTA AVE UNIT 3
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City | SANTEE
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State | CA
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Zip | 92071-4389
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Country | US
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Telephone | 619-302-5697
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BALANG QASAB
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Credential |
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Telephone | 619-302-5697
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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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