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General NPI Number Information
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NPI Number | 1689007957
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Entity Type | Organization
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Legal Business Name | TRINITY TRANSPORTATION
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Dates
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Enumeration Date | 08/09/2013
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Last Update Date | 09/22/2015
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Provider Practice Location Address
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Address Line | 5013 3RD AVE
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City | LOS ANGELES
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State | CA
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Zip | 90043-1922
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Country | US
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Telephone | 323-291-2413
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Fax |
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Provider Business Mailing Address
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Address Line | 3701 S. STOCKER
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City | LOS ANGELES
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State | CA
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Zip | 90008
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Country | US
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Telephone | 323-273-6748
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SHANEATHA SANDIFER
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Credential |
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Telephone | 323-273-6847
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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 | CA
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