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General NPI Number Information
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NPI Number | 1033651088
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Entity Type | Organization
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Legal Business Name | NORTHERN STAR TRANSPORTATION INC.
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Dates
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Enumeration Date | 11/08/2016
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Last Update Date | 11/08/2016
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Provider Practice Location Address
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Address Line | 4036 OAK FLATS RD
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City | HARRISON
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State | MI
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Zip | 48625
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Country | US
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Telephone | 989-285-3008
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Fax | 800-499-3068
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Provider Business Mailing Address
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Address Line | PO BOX 84
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City | KALEVA
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State | MI
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Zip | 49645-0084
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Country | US
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Telephone | 989-285-3008
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Fax | 800-499-3068
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. RAYMOND LAWRENCE AUGENSTEIN
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Credential | PHD
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Telephone | 989-285-3008
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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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