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General NPI Number Information
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NPI Number | 1659082535
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Entity Type | Organization
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Legal Business Name | 2 RIVERS NON EMERGENCY MEDICAL TRANSPORTATION
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Dates
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Enumeration Date | 12/12/2022
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Last Update Date | 12/12/2022
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Provider Practice Location Address
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Address Line | 3140 BOATHOUSE WAY
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City | SACRAMENTO
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State | CA
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Zip | 95833-9619
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Country | US
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Telephone | 916-203-3334
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Fax |
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Provider Business Mailing Address
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Address Line | 3631 TRUXEL RD STE 1223
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City | SACRAMENTO
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State | CA
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Zip | 95834-3604
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Country | US
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Telephone | 916-203-3334
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO
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Name | MR. DWAYNE ANGELO LEWIS
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Credential |
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Telephone | 916-203-3334
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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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