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General NPI Number Information
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NPI Number | 1962544650
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Entity Type | Organization
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Legal Business Name | MIDWAY CARE MEDICAL TRANSPORTATION INC
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Dates
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Enumeration Date | 02/12/2007
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Last Update Date | 04/27/2010
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Provider Practice Location Address
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Address Line | 20134 STATE RD
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City | CERRITOS
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State | CA
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Zip | 90703-6457
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Country | US
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Telephone | 562-863-6651
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Fax | 562-863-7751
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Provider Business Mailing Address
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Address Line | PO BOX 1209
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City | ARTESIA
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State | CA
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Zip | 90702-1209
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Country | US
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Telephone | 562-863-6651
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Fax | 562-863-7751
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Authorized Official
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Title or Position | OWNER
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Name | MS. MARIA CORAZON DRAPEZA
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Credential |
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Telephone | 562-863-6651
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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 | 1925165
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License Number State | CA
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