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General NPI Number Information
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NPI Number | 1750366068
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Entity Type | Organization
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Legal Business Name | PROTRANSPORT 1
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Dates
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Enumeration Date | 12/08/2005
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Last Update Date | 09/19/2024
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Provider Practice Location Address
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Address Line | 6040 COMMERCE BLVD STE 111
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City | ROHNERT PARK
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State | CA
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Zip | 94928-2181
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Country | US
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Telephone | 707-665-4289
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Fax | 707-703-4619
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Provider Business Mailing Address
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Address Line | PO BOX 31001-2208
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City | PASADENA
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State | CA
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Zip | 91110-2208
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Country | US
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Telephone | 707-665-4295
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Fax |
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | JUSTIN MEISER
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Credential |
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Telephone | 330-217-2652
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 1830
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License Number State | CA
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