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General NPI Number Information
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NPI Number | 1740083435
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Entity Type | Organization
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Legal Business Name | MEDICARRIER LLC
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Dates
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Enumeration Date | 03/29/2025
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Last Update Date | 06/24/2025
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Provider Practice Location Address
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Address Line | 2836 REDWOOD CT
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City | NEWCASTLE
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State | OK
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Zip | 73065-6687
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Country | US
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Telephone | 954-856-7371
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Fax |
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Provider Business Mailing Address
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Address Line | 2836 REDWOOD CT
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City | NEWCASTLE
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State | OK
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Zip | 73065-6687
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Country | US
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Telephone | 405-860-6334
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KILSY BATHELMY BACILIO
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Credential |
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Telephone | 405-860-6334
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343800000X
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Taxonomy Name | Secured Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 344600000X
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Taxonomy Name | Taxi
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License Number |
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License Number State |
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Taxonomy #3
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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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