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General NPI Number Information
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NPI Number | 1063625101
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Entity Type | Organization
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Legal Business Name | CBS TRANSPRO, INC.
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Dates
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Enumeration Date | 05/07/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 833 S EDISON AVE
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City | SOUTH BEND
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State | IN
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Zip | 46619-2759
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Country | US
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Telephone | 574-217-2043
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Fax | 574-287-3945
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Provider Business Mailing Address
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Address Line | 445 E FM 1382 SUITE 3-315
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City | CEDAR HILL
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State | TX
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Zip | 75104-6047
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Country | US
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Telephone | 214-535-6623
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Fax | 214-383-9868
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. CHERYL PITTMAN
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Credential |
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Telephone | 214-535-6623
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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 | 54495
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License Number State | IN
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