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General NPI Number Information
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NPI Number | 1679313829
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Entity Type | Organization
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Legal Business Name | PATIENT MEDICAL TRANSPORT
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Dates
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Enumeration Date | 05/27/2024
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Last Update Date | 06/19/2024
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Provider Practice Location Address
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Address Line | 1525 CAPPALAPPA AVE
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City | LOGANDALE
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State | NV
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Zip | 89021-0269
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Country | US
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Telephone | 702-250-8881
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Fax | 775-344-9592
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Provider Business Mailing Address
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Address Line | PO BOX 1028
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City | LOGANDALE
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State | NV
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Zip | 89021-1028
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Country | US
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Telephone | 702-250-8881
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Fax | 775-344-9592
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Authorized Official
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Title or Position | MANAGER
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Name | WENDY A SKINNER
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Credential | MANAGING MEMBER
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Telephone | 702-250-8881
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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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