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General NPI Number Information
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NPI Number | 1770907321
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Entity Type | Organization
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Legal Business Name | SAM'S TRANSPORTATION SERVICE INC.
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Dates
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Enumeration Date | 02/18/2014
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Last Update Date | 02/18/2014
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Provider Practice Location Address
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Address Line | 968 DURFEE AVE
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City | SOUTH EL MONTE
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State | CA
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Zip | 91733-4408
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Country | US
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Telephone | 626-279-9201
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Fax |
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Provider Business Mailing Address
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Address Line | 968 DURFEE AVE
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City | SOUTH EL MONTE
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State | CA
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Zip | 91733-4408
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Country | US
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Telephone | 626-279-9201
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Fax | 626-279-9240
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MR. ISSAM AYAD
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Credential |
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Telephone | 818-489-7404
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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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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