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General NPI Number Information
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NPI Number | 1639078678
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Entity Type | Organization
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Legal Business Name | WILD MOUNTAIN TRUCKING INC.
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Dates
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Enumeration Date | 11/04/2026
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Last Update Date | 11/04/2026
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Provider Practice Location Address
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Address Line | 1055 E COLORADO BLVD 5TH PMB 6001
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City | PASADENA
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State | CA
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Zip | 91106-2327
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Country | US
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Telephone | 310-750-8509
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Fax |
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Provider Business Mailing Address
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Address Line | 1055 E COLORADO BLVD
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City | PASADENA
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State | CA
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Zip | 91106-2327
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Country | US
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Telephone | 310-750-8509
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | WENDELL MCFARLANE
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Credential |
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Telephone | 310-462-0006
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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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