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General NPI Number Information
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NPI Number | 1710615208
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Entity Type | Organization
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Legal Business Name | AZHALA MEDICARE TRANSPORTATION LLC
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Dates
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Enumeration Date | 08/11/2022
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 530 BUCKINGHAM RD
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City | RICHARDSON
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State | TX
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Zip | 75081-5701
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Country | US
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Telephone | 512-566-9881
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Fax |
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Provider Business Mailing Address
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Address Line | 530 BUCKINGHAM RD
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City | RICHARDSON
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State | TX
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Zip | 75081-5701
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Country | US
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Telephone | 512-566-9881
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | ABRHA KAHSAY HAREGOT
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Credential |
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Telephone | 151-256-6988
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343800000X
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Taxonomy Name | Secured Medical Transport (VAN)
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License Number |
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License Number State |
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