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General NPI Number Information
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NPI Number | 1790504405
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Entity Type | Organization
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Legal Business Name | LEE'S NEMT L.L.C
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Dates
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Enumeration Date | 10/09/2024
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Last Update Date | 10/09/2024
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Provider Practice Location Address
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Address Line | 2301 N UPLAND CRST
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City | COLUMBIA HEIGHTS
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State | MN
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Zip | 55421-2036
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Country | US
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Telephone | 559-362-8813
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Fax |
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Provider Business Mailing Address
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Address Line | 2301 N UPLAND CRST
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City | COLUMBIA HEIGHTS
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State | MN
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Zip | 55421-2036
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Country | US
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Telephone | 559-362-8813
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | EDDIE MOUA
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Credential |
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Telephone | 559-362-8813
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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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