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General NPI Number Information
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NPI Number | 1053952614
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Entity Type | Organization
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Legal Business Name | FOCUS TRANSPORT
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Dates
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Enumeration Date | 10/04/2019
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Last Update Date | 10/04/2019
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Provider Practice Location Address
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Address Line | 5319 N 118TH CT
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City | MILWAUKEE
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State | WI
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Zip | 53225-3085
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Country | US
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Telephone | 414-209-2062
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Fax | 414-446-2304
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Provider Business Mailing Address
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Address Line | 5319 N 118TH CT
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City | MILWAUKEE
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State | WI
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Zip | 53225-3085
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Country | US
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Telephone | 414-209-2062
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Fax | 414-446-2304
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Authorized Official
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Title or Position | ADMINISTATOR
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Name | LENG LO
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Credential |
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Telephone | 414-209-2062
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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 |
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License Number State |
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