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General NPI Number Information
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NPI Number | 1679389282
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Entity Type | Organization
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Legal Business Name | SOCAL MEDICAL TRANSPORTATION LLC
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Dates
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Enumeration Date | 12/09/2024
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Last Update Date | 12/09/2024
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Provider Practice Location Address
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Address Line | 3343 DURAHART ST.
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City | RIVERSIDE
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State | CA
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Zip | 92507
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Country | US
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Telephone | 949-429-9296
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Fax | 951-680-9826
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Provider Business Mailing Address
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Address Line | 3343 DURAHART ST.
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City | RIVERSIDE
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State | CA
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Zip | 92507
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Country | US
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Telephone | 949-429-9296
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Fax | 951-680-9826
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Authorized Official
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Title or Position | CEO
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Name | MR. BEHNAM SHAHMOHAMMADI TABRIZI
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Credential |
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Telephone | 949-429-9296
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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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