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General NPI Number Information
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NPI Number | 1932048030
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Entity Type | Organization
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Legal Business Name | RCAL TRANSPORT LLC.
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Dates
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Enumeration Date | 03/25/2026
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Last Update Date | 03/25/2026
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Provider Practice Location Address
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Address Line | 4904 E WELLRIDGE LN
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City | JOPLIN
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State | MO
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Zip | 64801-8706
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Country | US
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Telephone | 417-781-0099
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Fax | 417-623-8900
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Provider Business Mailing Address
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Address Line | 4904 E WELLRIDGE LN
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City | JOPLIN
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State | MO
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Zip | 64801-8706
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Country | US
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Telephone | 417-781-0099
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Fax | 417-623-8900
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Authorized Official
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Title or Position | C.E.O.
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Name | MR. MICHAEL KEVIN MATHENY II
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Credential | R.N.
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Telephone | 417-629-4021
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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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