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General NPI Number Information
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NPI Number | 1811717044
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Entity Type | Organization
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Legal Business Name | GOSHEN MEDICAL TRANSPORTS, LLC
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Dates
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Enumeration Date | 10/14/2024
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Last Update Date | 10/14/2024
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Provider Practice Location Address
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Address Line | 44330 MERCURE CIR STE 166
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City | STERLING
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State | VA
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Zip | 20166-3806
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Country | US
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Telephone | 703-268-1600
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Fax |
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Provider Business Mailing Address
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Address Line | 44330 MERCURE CIR STE 166
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City | STERLING
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State | VA
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Zip | 20166-3806
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Country | US
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Telephone | 703-268-1600
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Fax |
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | ALEX OKORIE
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Credential |
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Telephone | 703-268-1600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number |
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License Number State |
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