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General NPI Number Information
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NPI Number | 1003549890
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Entity Type | Organization
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Legal Business Name | EVERMORE TRANSPORTATION
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Dates
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Enumeration Date | 07/08/2022
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Last Update Date | 07/08/2022
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Provider Practice Location Address
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Address Line | 45333 RIVERWOOD DR
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City | MACOMB
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State | MI
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Zip | 48044
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Country | US
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Telephone | 586-646-3554
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Fax |
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Provider Business Mailing Address
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Address Line | 20836 HALL RD STE 276
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City | CLINTON TWP
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State | MI
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Zip | 48038-7227
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING
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Name | SUSAN CATHERMAN
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Credential |
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Telephone | 734-223-1184
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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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