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General NPI Number Information
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NPI Number | 1689471484
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Entity Type | Organization
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Legal Business Name | CRESCENT MED TRANS
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Dates
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Enumeration Date | 02/27/2025
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Last Update Date | 02/27/2025
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Provider Practice Location Address
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Address Line | 1345 S DIAMOND BAR BLVD STE U
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City | DIAMOND BAR
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State | CA
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Zip | 91765-4151
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Country | US
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Telephone | 840-444-0747
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Fax |
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Provider Business Mailing Address
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Address Line | 16675 SLATE DR UNIT 236
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City | CHINO HILLS
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State | CA
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Zip | 91709-7406
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Country | US
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Telephone | 840-444-0747
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. AHMED ISMAIL HEIBA
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Credential |
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Telephone | 840-444-0747
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343800000X
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Taxonomy Name | Secured Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 344600000X
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Taxonomy Name | Taxi
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License Number |
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License Number State |
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Taxonomy #3
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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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