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General NPI Number Information
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NPI Number | 1790206928
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Entity Type | Organization
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Legal Business Name | CARMEL MEDICAL TRANSPORT, LLC
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Dates
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Enumeration Date | 06/28/2017
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Last Update Date | 06/28/2017
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Provider Practice Location Address
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Address Line | 3300 N MILITARY HWY
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City | NORFOLK
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State | VA
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Zip | 23518-5609
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Country | US
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Telephone | 757-853-0369
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Fax | 757-853-0369
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Provider Business Mailing Address
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Address Line | 6609 AZALEA GARDEN RD
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City | NORFOLK
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State | VA
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Zip | 23518-5313
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Country | US
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Telephone | 757-853-0369
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Fax | 757-853-0369
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | MR. NAFTALI NMN LEV
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Credential |
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Telephone | 757-639-0775
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number | 463
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License Number State | VA
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