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General NPI Number Information
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NPI Number | 1619753365
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Entity Type | Organization
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Legal Business Name | UNIVERSAL ITECH TRANSPORTAION LLC
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Dates
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Enumeration Date | 09/07/2023
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Last Update Date | 09/07/2023
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Provider Practice Location Address
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Address Line | 11166 FAIRFAX BLVD SUITE 500 #1040
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City | FAIRFAX
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State | VA
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Zip | 22030
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Country | US
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Telephone | 703-930-2298
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Fax |
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Provider Business Mailing Address
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Address Line | 8113 HICKORY HOLLOW DR.
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City | GLEN BURNIE
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State | MD
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Zip | 21060
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Country | US
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Telephone | 703-930-2298
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | TARILA JAMES AMAJENE
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Credential |
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Telephone | 202-379-8876
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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 | 347B00000X
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Taxonomy Name | Bus
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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 | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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Taxonomy #4
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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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