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General NPI Number Information
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NPI Number | 1700109097
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Entity Type | Organization
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Legal Business Name | BEAUTIFUL FRESNO TRANSPORTATION LLC
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Dates
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Enumeration Date | 03/01/2010
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Last Update Date | 03/01/2010
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Provider Practice Location Address
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Address Line | 3087 E CLINTON AVE
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City | FRESNO
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State | CA
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Zip | 93703-2321
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Country | US
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Telephone | 559-681-1430
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Fax | 559-221-6275
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Provider Business Mailing Address
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Address Line | 5868 E PARK CIRCLE DR
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City | FRESNO
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State | CA
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Zip | 93727-5533
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Country | US
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Telephone | 559-681-1430
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Fax | 559-221-6275
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Authorized Official
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Title or Position | MANAGER
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Name | GAO LEE
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Credential |
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Telephone | 559-681-1430
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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 | 401064
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License Number State | CA
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