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General NPI Number Information
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NPI Number | 1720529936
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Entity Type | Organization
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Legal Business Name | CAREWEST NON-EMERGENCY SERVICES, LLC
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Dates
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Enumeration Date | 03/20/2017
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Last Update Date | 05/16/2018
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Provider Practice Location Address
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Address Line | 10423 ATLANTIC AVE
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City | SOUTH GATE
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State | CA
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Zip | 90280
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Country | US
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Telephone | 323-400-8644
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Fax | 323-881-4711
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Provider Business Mailing Address
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Address Line | 10423 ATLANTIC AVE
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City | SOUTH GATE
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State | CA
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Zip | 90280-7021
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Country | US
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Telephone | 323-400-8644
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Fax | 323-881-4711
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Authorized Official
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Title or Position | CEO/OWNER
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Name | MARA A ROSALES
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Credential |
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Telephone | 323-400-8644
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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 | CA
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