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General NPI Number Information
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NPI Number | 1669007126
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Entity Type | Organization
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Legal Business Name | AFLAH TRANSPORTATION LLC
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Dates
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Enumeration Date | 03/05/2020
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Last Update Date | 03/11/2020
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Provider Practice Location Address
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Address Line | 3316 3RD STREET NORTH SUITE 129
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City | SAINT CLOUD
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State | MN
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Zip | 56303
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Country | US
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Telephone | 651-253-1146
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Fax |
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Provider Business Mailing Address
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Address Line | 3720 W SAINT GERMAIN ST APT 204
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City | SAINT CLOUD
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State | MN
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Zip | 56301-7363
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | TRANSPORTATION PROVIDER
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Name | AHMED MOHAMED WARSAME
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Credential |
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Telephone | 651-253-1146
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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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