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General NPI Number Information
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NPI Number | 1740457001
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Entity Type | Organization
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Legal Business Name | DOOR TO DOOR INCORPORATED
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Dates
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Enumeration Date | 05/14/2008
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Last Update Date | 05/14/2008
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Provider Practice Location Address
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Address Line | 4704 CRENSHAW BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90043-1232
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Country | US
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Telephone | 323-298-1345
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Fax | 323-298-0788
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Provider Business Mailing Address
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Address Line | PO BOX 43369
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City | LOS ANGELES
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State | CA
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Zip | 90043-0369
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Country | US
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Telephone | 323-298-1345
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Fax | 323-298-0788
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Authorized Official
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Title or Position | OWNER
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Name | MR. MAKIESHA JO FRANKLIN
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Credential | CHILD OF GOD
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Telephone | 323-298-1345
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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 | CA-268392
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License Number State | CA
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