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General NPI Number Information
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NPI Number | 1689474256
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Entity Type | Organization
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Legal Business Name | VITAL HEALTH TRANSPORTATION
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Dates
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Enumeration Date | 03/13/2025
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Last Update Date | 03/13/2025
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Provider Practice Location Address
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Address Line | 1000 E 146TH ST
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City | BURNSVILLE
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State | MN
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Zip | 55337-6704
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Country | US
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Telephone | 651-403-0686
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Fax |
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Provider Business Mailing Address
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Address Line | 9641 GARFIELD AVE S
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City | MINNEAPOLIS
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State | MN
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Zip | 55420-4273
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Country | US
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Telephone | 651-403-0686
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ABDIRAHMAN MOHAMUD YUSUF
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Credential |
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Telephone | 651-403-0686
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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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