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General NPI Number Information
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NPI Number | 1629817473
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Entity Type | Organization
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Legal Business Name | BLUE ARROW NON EMERGENCY MEDICAL TRANSPORTATION
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Dates
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Enumeration Date | 05/21/2024
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Last Update Date | 05/21/2024
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Provider Practice Location Address
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Address Line | 9161 SIERRA AVE STE 208
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City | FONTANA
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State | CA
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Zip | 92335-4761
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Country | US
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Telephone | 909-997-0863
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3856
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City | SAN BERNARDINO
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State | CA
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Zip | 92413-3856
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Country | US
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Telephone | 951-275-1985
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Fax |
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | JOSE MANUEL MONTES
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Credential |
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Telephone | 951-275-1985
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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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