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General NPI Number Information
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NPI Number | 1669911566
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Entity Type | Organization
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Legal Business Name | SATX GUARDIAN TRANSPORTATION
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Dates
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Enumeration Date | 02/13/2017
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Last Update Date | 05/27/2018
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Provider Practice Location Address
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Address Line | 276 WINDMILL RANCH RD
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City | SPRING BRANCH
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State | TX
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Zip | 78070
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Country | US
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Telephone | 210-931-1279
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Fax | 833-790-2064
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Provider Business Mailing Address
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Address Line | 4206 VALLEY PIKE ST
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City | SAN ANTONIO
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State | TX
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Zip | 78230-1706
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Country | US
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Telephone | 210-931-1279
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. RICARDO S GUERRA
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Credential |
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Telephone | 210-931-1279
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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 | TX
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