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General NPI Number Information
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NPI Number | 1003284605
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Entity Type | Organization
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Legal Business Name | NORTH BAND TRANS
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Dates
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Enumeration Date | 09/13/2015
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Last Update Date | 09/13/2015
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Provider Practice Location Address
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Address Line | 904 AURORA AVE
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City | SAINT PAUL
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State | MN
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Zip | 55104-4739
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Country | US
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Telephone | 651-246-3156
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Fax |
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Provider Business Mailing Address
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Address Line | 904 AURORA AVE
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City | SAINT PAUL
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State | MN
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Zip | 55104-4739
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Country | US
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Telephone | 651-246-3156
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | AYAN S ASKAR
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Credential |
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Telephone | 651-246-3156
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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 | 836644800032
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License Number State | MN
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