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General NPI Number Information
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NPI Number | 1811602022
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Entity Type | Organization
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Legal Business Name | COMPASSIONATE MEDICAL TRANSPORT, INC.
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Dates
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Enumeration Date | 01/23/2023
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Last Update Date | 01/24/2023
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Provider Practice Location Address
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Address Line | 511 CENTRAL AVE
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City | LAKE ELSINORE
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State | CA
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Zip | 92530-2735
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Country | US
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Telephone | 9-826-6418
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Fax | 951-231-2564
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Provider Business Mailing Address
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Address Line | 511 CENTRAL AVE
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City | LAKE ELSINORE
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State | CA
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Zip | 92530-2735
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Country | US
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Telephone | 9-826-6418
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Fax | 951-231-2564
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. CINDY DICKENS
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Credential |
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Telephone | 800-982-6641
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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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