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General NPI Number Information
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NPI Number | 1629274881
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Entity Type | Organization
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Legal Business Name | MEDTRANS EXPRESS, INC
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Dates
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Enumeration Date | 06/25/2007
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Last Update Date | 10/08/2024
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Provider Practice Location Address
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Address Line | 432 E SOUTHERN AVE
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City | TEMPE
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State | AZ
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Zip | 85282-5216
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Country | US
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Telephone | 602-324-7178
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Fax | 480-461-6670
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Provider Business Mailing Address
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Address Line | 432 E SOUTHERN AVE
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City | TEMPE
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State | AZ
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Zip | 85282-5216
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Country | US
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Telephone | 602-324-7178
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Fax | 480-461-6670
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Authorized Official
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Title or Position | OWNER
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Name | MR. ABDULLAH A TALIB
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Credential |
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Telephone | 480-604-8450
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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 | 379544
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License Number State | AZ
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