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General NPI Number Information
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NPI Number | 1831829258
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Entity Type | Organization
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Legal Business Name | ROYAL KEYS TRANSPORT NEMT LLC
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Dates
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Enumeration Date | 06/17/2022
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Last Update Date | 07/03/2023
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Provider Practice Location Address
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Address Line | 1204 E BASELINE RD
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City | TEMPE
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State | AZ
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Zip | 85283-1454
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Country | US
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Telephone | 602-922-5878
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Fax | 602-922-5881
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Provider Business Mailing Address
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Address Line | 16541 W TONTO ST
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City | GOODYEAR
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State | AZ
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Zip | 85338-4520
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Country | US
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Telephone | 480-667-4469
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LATASHA ALLEN
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Credential |
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Telephone | 480-667-4469
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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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