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NPI Code Detail

MEDICARE: WARSAME WARSAME

MEDICARE:   WARSAME  WARSAME
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1343900000XNon-emergency Medical Transport (VAN)

General Provider Information

NPI Number : 1194183368
Entity Type Code : Individual
Provider Name (Legal Business Name) : WARSAME WARSAME
Provider Business Mailing Address
First Line : 1115 45TH AVE NE
Second Line :
City : COLUMBIA HEIGHTS
State : MN
Zip : 55421
Country : US
Telephone Number : 763-310-4079
Fax Number :
Provider Business Practice Location Address
First Line : 1115 45TH AVE NE
Second Line :
City : COLUMBIA HEIGHTS
State : MN
Zip : 55421
Country : US
Telephone Number : 763-310-4079
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2016
Last Update Date : 02/03/2016

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Directions to “ WARSAME WARSAME ” Practice Location

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