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General NPI Number Information
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NPI Number | 1730435272
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Entity Type | Organization
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Legal Business Name | CARE TRANSPORTATION SERVICES
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Dates
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Enumeration Date | 08/02/2012
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Last Update Date | 04/13/2016
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Provider Practice Location Address
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Address Line | 6482 CATTLEMAN DRIVE
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City | CORONA
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State | CA
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Zip | 92880-8853
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Country | US
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Telephone | 323-385-9157
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Fax | 951-737-7972
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Provider Business Mailing Address
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Address Line | 6482 CATTLEMAN DR
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City | CORONA
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State | CA
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Zip | 92880-8553
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Country | US
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Telephone | 323-385-9157
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Fax | 951-737-7972
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MR. SARA TECLEMARIAM
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Credential |
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Telephone | 323-385-9157
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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 | 201022810281
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License Number State | CA
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