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General NPI Number Information
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NPI Number | 1821432022
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Entity Type | Organization
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Legal Business Name | ALRAHMA CARE TRANSPORTATION
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Dates
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Enumeration Date | 04/18/2013
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Last Update Date | 04/18/2013
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Provider Practice Location Address
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Address Line | 3825 W MCDOWELL RD 1007
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City | PHOENIX
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State | AZ
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Zip | 85009-2208
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Country | US
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Telephone | 602-760-9102
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Fax |
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Provider Business Mailing Address
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Address Line | 3825 W MCDOWELL RD 1007
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City | PHOENIX
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State | AZ
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Zip | 85009-2208
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Country | US
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Telephone | 602-760-9102
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. ELAMIN ABKER BUSH AHMED
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Credential |
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Telephone | 602-760-9102
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number | 509322
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License Number State | AZ
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