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General NPI Number Information
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NPI Number | 1710067632
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Entity Type | Organization
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Legal Business Name | PROFESSIONAL ACTION MEDICAL TRANSPORT, INC
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Dates
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Enumeration Date | 10/16/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4749 ELMWOOD AVE
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City | LOS ANGELES
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State | CA
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Zip | 90004-3110
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Country | US
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Telephone | 323-467-2088
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Fax | 323-666-2878
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Provider Business Mailing Address
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Address Line | 4749 ELMWOOD AVE PO BOX 743159
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City | LOS ANGELES
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State | CA
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Zip | 90004-3110
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Country | US
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Telephone | 323-467-2088
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Fax | 323-666-2878
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. IRENE DE GUZMAN PAPA
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Credential |
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Telephone | 323-467-2088
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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 | MTN01054G
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License Number State | CA
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