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General NPI Number Information
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NPI Number | 1821668500
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Entity Type | Organization
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Legal Business Name | YOUNIVERSAL TRANSPORTATION OF TEXAS, LLC
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Dates
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Enumeration Date | 06/25/2021
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Last Update Date | 06/25/2021
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Provider Practice Location Address
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Address Line | 5019 AZALEA MEADOW LN
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City | KATY
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State | TX
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Zip | 77494-3154
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Country | US
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Telephone | 713-444-0998
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Fax |
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Provider Business Mailing Address
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Address Line | 5019 AZALEA MEADOW LN
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City | KATY
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State | TX
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Zip | 77494-3154
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Country | US
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Telephone | 713-444-0998
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. ZANTA LEBRA STROUD-SIMMONS
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Credential |
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Telephone | 832-956-1997
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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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