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General NPI Number Information
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NPI Number | 1730705120
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Entity Type | Organization
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Legal Business Name | SHEPHERD NON-EMERGENCY MEDICAL TRANSPORTATION LLC
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Dates
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Enumeration Date | 06/22/2020
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Last Update Date | 06/02/2025
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Provider Practice Location Address
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Address Line | 1601 E DEBBIE LN APT 2203
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City | MANSFIELD
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State | TX
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Zip | 76063-3679
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Country | US
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Telephone | 817-720-0595
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Fax |
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Provider Business Mailing Address
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Address Line | 2716 SCARBOROUGH DR
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City | GRAND PRAIRIE
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State | TX
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Zip | 75052-4271
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | YAHIA ALMUHTADI
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Credential |
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Telephone | 817-720-0595
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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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