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General NPI Number Information
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NPI Number | 1750156170
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Entity Type | Organization
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Legal Business Name | ELORA MEDICAL TRANSPORTATION INC
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Dates
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Enumeration Date | 11/15/2023
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Last Update Date | 11/13/2024
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Provider Practice Location Address
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Address Line | 9207 COUNTRY CREEK DR STE 111
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City | HOUSTON
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State | TX
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Zip | 77036-7745
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Country | US
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Telephone | 713-777-1621
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Fax | 713-777-1734
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Provider Business Mailing Address
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Address Line | 9207 COUNTRY CREEK DR STE 111
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City | HOUSTON
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State | TX
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Zip | 77036-7745
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Country | US
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Telephone | 713-777-1621
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Fax | 713-777-1734
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Authorized Official
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Title or Position | OWNER
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Name | CHRISTIAN THEO ARISUKWU
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Credential |
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Telephone | 713-540-0600
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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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