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General NPI Number Information
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NPI Number | 1669115689
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Entity Type | Organization
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Legal Business Name | PEAK ENTERPRISE, LLC
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Dates
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Enumeration Date | 04/18/2022
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Last Update Date | 04/18/2022
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Provider Practice Location Address
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Address Line | 1567 FRAMBUESA DR
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93405-4746
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Country | US
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Telephone | 805-295-0150
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Fax | 805-623-4186
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Provider Business Mailing Address
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Address Line | 793 E. FOOTHILL BLVD SUITE A, #53
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93405
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Country | US
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Telephone | 805-295-0150
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Fax | 805-623-4186
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Authorized Official
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Title or Position | MEMBER
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Name | MR. MEYNARD MORALES MARCOS
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Credential |
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Telephone | 805-295-0150
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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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