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General NPI Number Information
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NPI Number | 1740770825
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Entity Type | Organization
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Legal Business Name | AMB MEDICAL TRANSPORTATION LLC
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Dates
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Enumeration Date | 05/15/2018
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Last Update Date | 08/17/2018
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Provider Practice Location Address
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Address Line | 456 BARCELONA LN
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City | VIRGINIA BEACH
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State | VA
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Zip | 23452-5324
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Country | US
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Telephone | 757-237-8257
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Fax |
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Provider Business Mailing Address
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Address Line | 456 BARCELONA LN
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City | VIRGINIA BEACH
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State | VA
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Zip | 23452-5324
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Country | US
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Telephone | 757-237-8257
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. VALERIE HOPE BROOKS
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Credential |
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Telephone | 757-237-8257
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State | VA
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Taxonomy #2
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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 | VA
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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 | T61681115
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License Number State | VA
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