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General NPI Number Information
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NPI Number | 1912529231
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Entity Type | Organization
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Legal Business Name | RUNNER TRANPORTATION SERVICES, LLC LLC
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Dates
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Enumeration Date | 05/08/2020
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Last Update Date | 05/08/2020
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Provider Practice Location Address
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Address Line | 2929 LA CRESTA RD
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City | EL CAJON
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State | CA
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Zip | 92021-3788
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Country | US
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Telephone | 619-741-9245
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Fax |
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Provider Business Mailing Address
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Address Line | 2929 LA CRESTA RD
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City | EL CAJON
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State | CA
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Zip | 92021-3788
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Country | US
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Telephone | 619-741-9245
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER (CEO)
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Name | ABDI BASHIR YUSUF
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Credential |
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Telephone | 619-357-3654
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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