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General NPI Number Information
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NPI Number | 1669705463
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Entity Type | Organization
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Legal Business Name | KT EXPRESS
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Dates
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Enumeration Date | 09/10/2009
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Last Update Date | 09/10/2009
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Provider Practice Location Address
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Address Line | 6509 E OSBORN RD SUITE 202
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-6047
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Country | US
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Telephone | 480-707-7385
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Fax | 480-323-2086
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Provider Business Mailing Address
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Address Line | 6509 E OSBORN RD SUITE 202
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-6047
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Country | US
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Telephone | 480-707-7385
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Fax | 480-323-2086
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Authorized Official
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Title or Position | OWNER
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Name | KING UYERE
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Credential |
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Telephone | 480-707-7385
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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 | 31905
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 344600000X
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Taxonomy Name | Taxi
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License Number | 31905
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License Number State | AZ
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