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General NPI Number Information
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NPI Number | 1679931190
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Entity Type | Organization
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Legal Business Name | ABCDE TRANSPORTATION, LLC
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Dates
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Enumeration Date | 01/29/2016
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Last Update Date | 01/29/2016
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Provider Practice Location Address
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Address Line | 454 S ROBERTSON BLVD STE D
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City | LOS ANGELES
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State | CA
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Zip | 90048-3972
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Country | US
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Telephone | 562-297-0061
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Fax | 310-786-2070
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Provider Business Mailing Address
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Address Line | PO BOX 5305
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City | BEVERLY HILLS
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State | CA
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Zip | 90209-5305
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Country | US
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Telephone | 562-297-0061
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ALEXANDER ZAKS
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Credential |
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Telephone | 562-297-0061
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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 | TCP24975
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License Number State | CA
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