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General NPI Number Information
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NPI Number | 1992103360
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Entity Type | Organization
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Legal Business Name | SADDLEBACK TRANSPORTATION, INC.
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Dates
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Enumeration Date | 12/16/2014
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Last Update Date | 12/16/2014
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Provider Practice Location Address
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Address Line | 23046 AVENIDA DE LA CARLOTA - SUITE 600
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City | LAGUNA HILLS
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State | CA
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Zip | 92653
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Country | US
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Telephone | 949-922-1577
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Fax | 949-535-1820
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Provider Business Mailing Address
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Address Line | 23046 AVENIDA DE LA CARLOTA - SUITE 600
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City | LAGUNA HILLS
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State | CA
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Zip | 92653
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Country | US
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Telephone | 949-922-1577
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Fax | 949-535-1820
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. DAVID E METHE
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Credential |
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Telephone | 949-922-1577
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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 | 7ALJ388
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License Number State | CA
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