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General NPI Number Information
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NPI Number | 1669701785
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Entity Type | Organization
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Legal Business Name | ASANTE TRANSPORTATION LLC
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Dates
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Enumeration Date | 12/19/2009
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Last Update Date | 07/29/2011
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Provider Practice Location Address
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Address Line | 2610 W BETHANY HOME RD STE 206
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City | PHOENIX
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State | AZ
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Zip | 85017-2136
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Country | US
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Telephone | 602-242-1551
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Fax | 602-242-1661
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Provider Business Mailing Address
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Address Line | 2610 W BETHANY HOME RD STE 206
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City | PHOENIX
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State | AZ
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Zip | 85017-2136
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Country | US
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Telephone | 602-242-1551
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Fax | 602-242-1661
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Authorized Official
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Title or Position | OWNER
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Name | MR. JOHN NGUGI KABATA
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Credential |
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Telephone | 602-242-1551
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 344600000X
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Taxonomy Name | Taxi
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License Number | BMF # 33025
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License Number State | AZ
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