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General NPI Number Information
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NPI Number | 1871943068
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Entity Type | Organization
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Legal Business Name | NEW LIFE TRANSPORTATION
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Dates
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Enumeration Date | 06/17/2016
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Last Update Date | 06/17/2016
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Provider Practice Location Address
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Address Line | 1353 THISTLEWOOD CT
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City | SAN JOSE
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State | CA
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Zip | 95121-2427
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Country | US
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Telephone | 408-440-8423
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Fax |
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Provider Business Mailing Address
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Address Line | 1353 THISTLEWOOD CT
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City | SAN JOSE
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State | CA
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Zip | 95121-2427
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Country | US
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Telephone | 408-440-8423
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | SONNYY YAMAUCHI
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Credential |
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Telephone | 415-265-5357
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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 | 201534910212
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License Number State | CA
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