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General NPI Number Information
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NPI Number | 1811154792
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Entity Type | Organization
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Legal Business Name | HORIZON MEDICAL TRANSPORTATION, LLC
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Dates
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Enumeration Date | 05/19/2008
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Last Update Date | 05/19/2008
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Provider Practice Location Address
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Address Line | 1997 FRIENDSHIP DR SUITE 'C'
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City | EL CAJON
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State | CA
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Zip | 92020-1143
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Country | US
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Telephone | 619-258-9902
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Fax | 619-258-9904
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Provider Business Mailing Address
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Address Line | 1997 FRIENDSHIP DR SUITE 'C'
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City | EL CAJON
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State | CA
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Zip | 92020-1143
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Country | US
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Telephone | 619-258-9902
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Fax | 619-258-9904
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. KOSTYANTYN ZUBIN
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Credential |
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Telephone | 619-258-9902
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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 |
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License Number State |
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