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General NPI Number Information
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NPI Number | 1982125563
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Entity Type | Organization
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Legal Business Name | QUALITY SERVICE MEDICAL TRANSPORTATION LLC
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Dates
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Enumeration Date | 07/04/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 4442 RICHARDSON AVE
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City | BRONX
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State | NY
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Zip | 10470-1545
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Country | US
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Telephone | 347-613-7862
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Fax | 914-764-7615
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Provider Business Mailing Address
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Address Line | 4442 RICHARDSON AVE
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City | BRONX
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State | NY
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Zip | 10470-1545
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Country | US
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Telephone | 347-613-7862
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Fax | 914-764-7615
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Authorized Official
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Title or Position | CEO
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Name | MR. PATRICK NDUKWE
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Credential |
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Telephone | 347-613-7862
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 344600000X
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Taxonomy Name | Taxi
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License Number | 00004-17
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License Number State | NY
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