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General NPI Number Information
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NPI Number | 1629597299
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Entity Type | Organization
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Legal Business Name | LIFECAB, LLC
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Dates
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Enumeration Date | 09/14/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 13732 NEWPORT AVE, SUITE #1
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City | TUSTIN
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State | CA
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Zip | 92780
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Country | US
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Telephone | 949-214-8395
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Fax |
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Provider Business Mailing Address
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Address Line | 13732 NEWPORT AVE STE 1
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City | TUSTIN
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State | CA
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Zip | 92780-4698
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Country | US
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Telephone | 949-214-8395
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MR. ZAIN AHMAD
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Credential |
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Telephone | 949-307-4698
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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 | CA
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