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General NPI Number Information
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NPI Number | 1063337129
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Entity Type | Organization
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Legal Business Name | PATHWAY TO PROGRESS
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Dates
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Enumeration Date | 08/10/2026
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Last Update Date | 08/12/2026
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Provider Practice Location Address
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Address Line | 714 W HURON ST STE 101
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City | PONTIAC
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State | MI
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Zip | 48341-1525
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Country | US
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Telephone | 888-788-0524
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Fax |
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Provider Business Mailing Address
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Address Line | 255 CARRIAGE CIRCLE DR APT 213
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City | PONTIAC
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State | MI
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Zip | 48342-3367
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Country | US
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Telephone | 248-982-0790
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Fax |
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Authorized Official
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Title or Position | MANAGER/PARTNER
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Name | SHAWN MADDEN
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Credential |
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Telephone | 248-982-9790
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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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