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General NPI Number Information
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NPI Number | 1730552670
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Entity Type | Organization
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Legal Business Name | SOMA TRANSPORTATION CO
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Dates
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Enumeration Date | 10/31/2015
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Last Update Date | 10/31/2015
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Provider Practice Location Address
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Address Line | 393 DUNLAP ST N STE 450
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City | SAINT PAUL
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State | MN
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Zip | 55104-4200
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Country | US
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Telephone | 651-646-8111
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Fax | 651-644-2088
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Provider Business Mailing Address
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Address Line | 393 DUNLAP ST N STE 450
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City | SAINT PAUL
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State | MN
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Zip | 55104-4200
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Country | US
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Telephone | 651-646-8111
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Fax | 651-644-2088
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Authorized Official
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Title or Position | PRESIDENT
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Name | INTISAR S GEIRE
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Credential |
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Telephone | 651-646-8111
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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 | 371738
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License Number State | MN
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