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General NPI Number Information
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NPI Number | 1891276168
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Entity Type | Organization
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Legal Business Name | EASY TRANSIT LLC
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Dates
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Enumeration Date | 08/24/2018
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Last Update Date | 08/24/2018
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Provider Practice Location Address
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Address Line | 303 EFFINGHAM ST APT 6A
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City | PORTSMOUTH
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State | VA
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Zip | 23704-2319
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Country | US
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Telephone | 718-844-1885
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Fax |
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Provider Business Mailing Address
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Address Line | 4710 MARSHALL AVE
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City | NEWPORT NEWS
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State | VA
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Zip | 23607-2226
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Country | US
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Telephone | 757-372-3012
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MAHMUD KANDEEL
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Credential |
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Telephone | 757-372-3012
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number |
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License Number State |
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