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General NPI Number Information
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NPI Number | 1619851391
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Entity Type | Organization
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Legal Business Name | YOUTA LLC
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Dates
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Enumeration Date | 08/04/2025
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 852 WASHINGTON ST
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City | PERRIS
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State | CA
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Zip | 92571-8835
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Country | US
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Telephone | 916-252-9279
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Fax |
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Provider Business Mailing Address
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Address Line | 26578 BAY AVE
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City | MORENO VALLEY
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State | CA
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Zip | 92555-3800
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Country | US
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Telephone | 916-252-9279
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | YOUNES TABTI
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Credential |
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Telephone | 916-252-9279
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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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