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General NPI Number Information
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NPI Number | 1063059962
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Entity Type | Organization
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Legal Business Name | EXPRESS MEDICAL TRANSPORTATION LLC
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Dates
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Enumeration Date | 12/10/2019
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 11709 RAEBURN CT
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City | MCKINNEY
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State | TX
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Zip | 75071-6910
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Country | US
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Telephone | 469-498-6200
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Fax | 469-498-6201
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Provider Business Mailing Address
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Address Line | 8992 PRESTON RD STE 110-703
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City | FRISCO
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State | TX
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Zip | 75034-3965
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Country | US
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Telephone | 469-498-6200
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Fax | 469-498-6201
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Authorized Official
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Title or Position | CEO
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Name | ROBENSON ETIENNE
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Credential |
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Telephone | 972-302-7031
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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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