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General NPI Number Information
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NPI Number | 1700467347
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Entity Type | Organization
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Legal Business Name | ADIL TAHA DBA HANNIBAL TRANSPORTATION
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Dates
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Enumeration Date | 04/15/2021
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Last Update Date | 05/12/2022
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Provider Practice Location Address
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Address Line | 1500 1ST AVE NE STE 109
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City | ROCHESTER
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State | MN
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Zip | 55906-4170
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Country | US
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Telephone | 507-202-4043
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Fax | 218-216-8848
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Provider Business Mailing Address
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Address Line | 1520 46TH ST NW
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City | ROCHESTER
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State | MN
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Zip | 55901-8285
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Country | US
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Telephone | 612-516-7803
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Fax | 218-216-8848
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MR. MOHAMMED EL-BASHIR
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Credential |
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Telephone | 612-516-7803
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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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