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NPI 1629791496

NPI 1629791496 : VETERANS UNITED TRANSPORT : CASTLE ROCK, CO

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General NPI Number Information
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    NPI Number           |    1629791496
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    Entity Type          |    Organization 
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    Legal Business Name  |    VETERANS UNITED TRANSPORT 
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Dates
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    Enumeration Date     |    09/26/2022
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    Last Update Date     |    09/26/2022
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Provider Practice Location Address
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    Address Line         |    2002 QUARTZ ST 
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    City                 |    CASTLE ROCK
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    State                |    CO
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    Zip                  |    80109-3655
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    Country              |    US
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    Telephone            |    630-347-1479
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2002 QUARTZ ST 
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    City                 |    CASTLE ROCK
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    State                |    CO
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    Zip                  |    80109-3655
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    Country              |    US
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    Telephone            |    630-347-1479
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CONSULTANT
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    Name                 |    MR. CARMINE  GULLI 
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    Credential           |    
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    Telephone            |    630-347-1479
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    3416L0300X
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    Taxonomy Name        |    Land Ambulance
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    License Number       |    
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    License Number State |    
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