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General NPI Number Information
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NPI Number | 1003596446
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Entity Type | Organization
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Legal Business Name | ANNIE MAE'S TRANSPORTATIONS SERVICES LLC.
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Dates
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Enumeration Date | 07/20/2023
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Last Update Date | 11/05/2024
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Provider Practice Location Address
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Address Line | 633 FULMER AVE
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City | AKRON
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State | OH
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Zip | 44312-2009
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Country | US
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Telephone | 312-998-8123
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Fax |
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Provider Business Mailing Address
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Address Line | 9427 S HALSTED ST
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City | CHICAGO
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State | IL
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Zip | 60620-2722
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Country | US
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Telephone | 312-998-8123
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JASON ANTHONY SCOTT
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Credential |
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Telephone | 312-998-8123
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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