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General NPI Number Information
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NPI Number | 1659849164
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Entity Type | Organization
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Legal Business Name | NOVA MEDICAL TRANSPORTATION LLC
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Dates
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Enumeration Date | 11/02/2018
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Last Update Date | 08/09/2023
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Provider Practice Location Address
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Address Line | 18808 HUNTINGTOWER CASTLE BLVD
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City | PFLUGERVILLE
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State | TX
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Zip | 78660-7464
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Country | US
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Telephone | 512-962-7372
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Fax |
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Provider Business Mailing Address
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Address Line | 18808 HUNTINGTOWER CASTLE BLVD
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City | PFLUGERVILLE
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State | TX
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Zip | 78660-7464
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Country | US
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Telephone | 512-962-7372
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MR. EYOB H MICHAEL
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Credential |
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Telephone | 512-785-5716
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343800000X
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Taxonomy Name | Secured Medical Transport (VAN)
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License Number |
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License Number State |
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