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General NPI Number Information
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NPI Number | 1922263367
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Entity Type | Organization
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Legal Business Name | SMI TRANSPORTATION SERVICE INC.
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Dates
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Enumeration Date | 07/24/2008
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 15108 QUIETSTREAM LN
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City | FONTANA
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State | CA
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Zip | 92336-5332
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Country | US
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Telephone | 909-463-9562
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Fax | 909-463-9850
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Provider Business Mailing Address
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Address Line | 15108 QUIETSTREAM LN
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City | FONTANA
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State | CA
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Zip | 92336-5332
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Country | US
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Telephone | 909-463-9562
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Fax | 909-463-9850
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. SYED MAHMOOD IFTIKHAR
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Credential |
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Telephone | 626-926-2224
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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 | CA
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