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NPI 1659265619

NPI 1659265619 : ROYSE NEMT TRANSPORTATION LLC : FATE, TX

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General NPI Number Information
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    NPI Number           |    1659265619
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    Entity Type          |    Organization 
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    Legal Business Name  |    ROYSE NEMT TRANSPORTATION LLC 
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Dates
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    Enumeration Date     |    06/04/2025
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    Last Update Date     |    06/04/2025
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Provider Practice Location Address
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    Address Line         |    441 BASSETT HALL RD 
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    City                 |    FATE
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    State                |    TX
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    Zip                  |    75189-8836
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    Country              |    US
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    Telephone            |    303-632-7710
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    441 BASSETT HALL RD 
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    City                 |    FATE
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    State                |    TX
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    Zip                  |    75189-8836
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    Country              |    US
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    Telephone            |    303-632-7710
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER/MANAGER
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    Name                 |     MEKDES GELAHUN ABATA 
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    Credential           |    
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    Telephone            |    303-632-7710
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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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