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NPI 1982374617

NPI 1982374617 : TOTEEL TRANSPORT : GRAND PRAIRIE, TX

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General NPI Number Information
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    NPI Number           |    1982374617
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    Entity Type          |    Organization 
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    Legal Business Name  |    TOTEEL TRANSPORT 
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Dates
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    Enumeration Date     |    09/14/2021
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    Last Update Date     |    09/19/2022
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Provider Practice Location Address
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    Address Line         |    1450 N HWY 360 APT 378 
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    City                 |    GRAND PRAIRIE
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    State                |    TX
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    Zip                  |    75050-4110
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    Country              |    US
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    Telephone            |    682-718-2723
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1450 N HWY 360 APT 378 
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    City                 |    GRAND PRAIRIE
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    State                |    TX
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    Zip                  |    75050-4110
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    Country              |    US
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    Telephone            |    682-718-2723
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    Fax                  |    
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Authorized Official
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    Title or Position    |    MANGER
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    Name                 |     NAGI HAMZA ISMAEEL 
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    Credential           |    
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    Telephone            |    682-622-1504
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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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Taxonomy #2
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    Taxonomy Code        |    343800000X
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    Taxonomy Name        |    Secured Medical Transport (VAN)
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    License Number       |    
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    License Number State |    
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