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General NPI Number Information
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NPI Number | 1770861841
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Entity Type | Organization
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Legal Business Name | SENIOR SHUTTLE
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Dates
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Enumeration Date | 07/23/2011
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Last Update Date | 01/10/2019
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Provider Practice Location Address
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Address Line | 74-710 HIGHWAY 111
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City | PALM DESERT
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State | CA
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Zip | 92260-3820
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Country | US
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Telephone | 760-837-2012
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Fax |
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Provider Business Mailing Address
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Address Line | 74-710 HIGHWAY 111
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City | PALM DESERT
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State | CA
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Zip | 92260-3820
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Country | US
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Telephone | 760-837-2012
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MICHAEL FINCH
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Credential |
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Telephone | 760-837-2012
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213EP0504X
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Taxonomy Name | Public Medicine Podiatrist
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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 | 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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