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General NPI Number Information
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NPI Number | 1699247254
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Entity Type | Organization
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Legal Business Name | GENESIS NON EMERGENCY MEDICAL TRANSPORTATION INC
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Dates
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Enumeration Date | 12/20/2018
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Last Update Date | 02/18/2021
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Provider Practice Location Address
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Address Line | 4949 BUCKLEY WAY STE 103
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City | BAKERSFIELD
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State | CA
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Zip | 93309-4880
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Country | US
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Telephone | 661-426-6763
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Fax |
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Provider Business Mailing Address
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Address Line | 8710 HOODSPORT AVE
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City | BAKERSFIELD
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State | CA
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Zip | 93312-5587
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Country | US
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Telephone | 661-426-6763
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Fax | 661-368-2767
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Authorized Official
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Title or Position | CEO
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Name | GUADALUPE E. NAVARRETE
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Credential |
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Telephone | 661-426-6763
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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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