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General NPI Number Information
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NPI Number | 1972079887
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Entity Type | Organization
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Legal Business Name | WHEELCHAIR TRANSPORTATION & HOMECARE SERVICES LLC
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Dates
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Enumeration Date | 10/18/2018
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Last Update Date | 11/27/2023
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Provider Practice Location Address
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Address Line | 624 POWDERHORN AVE
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City | SANTA ROSA
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State | CA
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Zip | 95407-2743
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Country | US
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Telephone | 707-236-5039
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Fax |
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Provider Business Mailing Address
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Address Line | 1116 BAYWOOD DR APT 159
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City | PETALUMA
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State | CA
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Zip | 94954-4398
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Country | US
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Telephone | 707-236-5039
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MR. DIMMY BADETTE
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Credential |
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Telephone | 707-236-5039
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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