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General NPI Number Information
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NPI Number | 1821474511
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Entity Type | Organization
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Legal Business Name | GMM TRANSPORTATION
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Dates
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Enumeration Date | 08/04/2015
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Last Update Date | 09/02/2015
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Provider Practice Location Address
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Address Line | 6720 BELLFORT ST
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City | HOUSTON
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State | TX
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Zip | 77087-6412
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Country | US
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Telephone | 713-643-0433
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Fax |
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Provider Business Mailing Address
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Address Line | 8206 LETTIE ST
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City | HOUSTON
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State | TX
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Zip | 77075-4722
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Country | US
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Telephone | 281-222-5832
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. GARRY CHARLES MALONE
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Credential |
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Telephone | 281-222-5832
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343800000X
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Taxonomy Name | Secured Medical Transport (VAN)
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License Number | 07725456
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License Number State | TX
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