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General NPI Number Information
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NPI Number | 1699177576
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Entity Type | Organization
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Legal Business Name | MED-SOLUTION SERVICES LLC
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Dates
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Enumeration Date | 09/22/2014
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Last Update Date | 09/22/2014
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Provider Practice Location Address
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Address Line | 132 SOUTHWOOD DR
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City | LANCASTER
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State | TX
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Zip | 75146-2826
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Country | US
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Telephone | 916-600-5262
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Fax |
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Provider Business Mailing Address
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Address Line | 4000 INNOVATOR DR UNIT 19102
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City | SACRAMENTO
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State | CA
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Zip | 95834-3897
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Country | US
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Telephone | 916-600-5262
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Fax |
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Authorized Official
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Title or Position | CEO/FOUNDER
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Name | TONYA R BUTLER-DAVIS
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Credential |
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Telephone | 916-600-5262
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 251T00000X
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Taxonomy Name | PACE Provider Organization
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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 | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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Taxonomy #5
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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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Taxonomy #6
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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