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NPI 1851020317

NPI 1851020317 : HAFADAI FAMILY GROUP INC RIDESAFE NONEMERGENCY MEDICAL TRANSPORT : ARTESIA, CA

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General NPI Number Information
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    NPI Number           |    1851020317
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    Entity Type          |    Organization 
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    Legal Business Name  |    HAFADAI FAMILY GROUP INC RIDESAFE NONEMERGENCY MEDICAL TRANSPORT 
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Dates
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    Enumeration Date     |    06/08/2022
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    Last Update Date     |    07/26/2022
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Provider Practice Location Address
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    Address Line         |    12140 ARTESIA BLVD STE 107 
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    City                 |    ARTESIA
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    State                |    CA
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    Zip                  |    90701-4054
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    Country              |    US
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    Telephone            |    562-263-6021
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    12140 ARTESIA BLVD STE 107 
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    City                 |    ARTESIA
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    State                |    CA
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    Zip                  |    90701-4054
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    Country              |    US
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    Telephone            |    562-263-6021
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    Fax                  |    
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Authorized Official
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    Title or Position    |    ADMIN
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    Name                 |     EMMANUEL  TORRES 
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    Credential           |    
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    Telephone            |    562-263-6021
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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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