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General NPI Number Information
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NPI Number | 1902515273
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Entity Type | Organization
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Legal Business Name | B811 MEDICAL TRANSPORTATION SERVICE
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Dates
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Enumeration Date | 11/16/2022
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Last Update Date | 02/04/2024
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Provider Practice Location Address
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Address Line | 241 W A ST
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City | DIXON
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State | CA
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Zip | 95620-3448
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Country | US
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Telephone | 877-796-2811
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Fax | 708-722-2811
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Provider Business Mailing Address
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Address Line | 4820 BUSINESS CENTER DR STE 110
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City | FAIRFIELD
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State | CA
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Zip | 94534-1907
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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 | OWNER/CEO
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Name | ROSLYN TAGGART
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Credential |
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Telephone | 877-796-2811
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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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