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General NPI Number Information
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NPI Number | 1831028919
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Entity Type | Organization
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Legal Business Name | MC MEDICAL TRANSPORTATION
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Dates
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Enumeration Date | 05/15/2026
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Last Update Date | 05/15/2026
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Provider Practice Location Address
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Address Line | 4001 PENBROOK ST
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City | ODESSA
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State | TX
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Zip | 79762-5976
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Country | US
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Telephone | 585-705-0563
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Fax |
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Provider Business Mailing Address
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Address Line | 800 E 18TH ST
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City | ODESSA
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State | TX
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Zip | 79761-1306
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MARCO CABRERA
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Credential |
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Telephone | 585-764-2583
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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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