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General NPI Number Information
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NPI Number | 1073514071
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Entity Type | Organization
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Legal Business Name | SUMMIT TRANSPORT SYSTEMS INC
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Dates
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Enumeration Date | 08/02/2005
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 594 HUDSON RUN RD
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City | BARBERTON
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State | OH
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Zip | 44203-3934
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Country | US
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Telephone | 330-837-9748
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Fax | 330-837-4583
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Provider Business Mailing Address
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Address Line | PO BOX 413
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City | MASSILLON
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State | OH
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Zip | 44648-0413
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Country | US
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Telephone | 330-837-9748
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Fax | 330-837-4583
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Authorized Official
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Title or Position | EXECUTIVE VICE PRESIDENT
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Name | MS. CARLA L MCCLASKEY
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Credential |
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Telephone | 330-837-9748
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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 | 770062
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License Number State | OH
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