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General NPI Number Information
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NPI Number | 1710832266
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Entity Type | Organization
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Legal Business Name | GENXAN TRANSPORT LLC
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Dates
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Enumeration Date | 03/02/2026
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Last Update Date | 03/02/2026
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Provider Practice Location Address
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Address Line | 1517 FAWNHAVEN WAY
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City | LODI
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State | CA
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Zip | 95240-7852
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Country | US
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Telephone | 209-730-6769
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Fax |
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Provider Business Mailing Address
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Address Line | 1517 FAWNHAVEN WAY
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City | LODI
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State | CA
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Zip | 95240-7852
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Country | US
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Telephone | 209-730-6769
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | HARVEY SEROYLA
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Credential |
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Telephone | 209-361-3545
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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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