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General NPI Number Information
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NPI Number | 1073204319
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Entity Type | Organization
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Legal Business Name | TRANSCARE DETROIT
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Dates
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Enumeration Date | 05/17/2023
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Last Update Date | 05/17/2023
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Provider Practice Location Address
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Address Line | 17515 W 9 MILE RD STE 450
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City | SOUTHFIELD
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State | MI
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Zip | 48075-4410
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Country | US
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Telephone | 313-330-9299
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 760487
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City | LATHRUP VILLAGE
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State | MI
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Zip | 48076-0487
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Country | US
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Telephone | 248-809-1466
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Fax | 248-556-3830
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Authorized Official
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Title or Position | C.E.O
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Name | MISS HALA MOUSSA
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Credential |
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Telephone | 313-330-9299
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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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