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General NPI Number Information
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NPI Number | 1982170437
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Entity Type | Organization
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Legal Business Name | LIBERTY TRANSIT INC
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Dates
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Enumeration Date | 10/22/2018
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Last Update Date | 06/08/2020
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Provider Practice Location Address
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Address Line | 289 5TH ST
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City | VALLEJO
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State | CA
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Zip | 94590-7209
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Country | US
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Telephone | 707-643-3333
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Fax | 707-643-3372
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Provider Business Mailing Address
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Address Line | PO BOX 711
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City | VALLEJO
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State | CA
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Zip | 94590-0621
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Country | US
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Telephone | 707-643-3333
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Fax | 707-643-3372
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. RAJNI BALA
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Credential |
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Telephone | 707-758-4095
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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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