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General NPI Number Information
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NPI Number | 1811802978
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Entity Type | Organization
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Legal Business Name | GM MEDICAL TRANSPORT LLC
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Dates
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Enumeration Date | 08/14/2026
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Last Update Date | 08/14/2026
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Provider Practice Location Address
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Address Line | 540 E FRISBIE WAY
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City | ROCKFORD
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State | WA
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Zip | 99030
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Country | US
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Telephone | 509-723-4000
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Fax | 509-414-6059
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Provider Business Mailing Address
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Address Line | PO BOX 233
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City | ROCKFORD
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State | WA
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Zip | 99030
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Country | US
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Telephone | 509-939-1988
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Fax | 509-414-6051
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. GARY W WAGNER
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Credential |
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Telephone | 509-939-1988
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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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