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General NPI Number Information
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NPI Number | 1003092560
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Entity Type | Organization
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Legal Business Name | BEAUMONT MEDICAL TRANSPORTATION SERVICES, INC
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Dates
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Enumeration Date | 01/15/2008
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Last Update Date | 09/28/2023
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Provider Practice Location Address
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Address Line | 25400 W 8 MILE RD
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City | SOUTHFIELD
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State | MI
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Zip | 48033-3866
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Country | US
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Telephone | 248-356-3900
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Fax |
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Provider Business Mailing Address
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Address Line | 26901 BEAUMONT BLVD. COMPLIANCE
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City | SOUTHFIELD
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State | MI
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Zip | 48033-4617
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Country | US
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Telephone | 947-522-1963
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Fax |
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Authorized Official
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Title or Position | EVP & COO
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Name | NANCY SUSICK
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Credential |
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Telephone | 947-522-3338
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 631081
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License Number State | MI
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