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General NPI Number Information
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NPI Number | 1073630919
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Entity Type | Organization
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Legal Business Name | HANDI-VAN TRANSPORT, INC.
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Dates
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Enumeration Date | 03/24/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 43702 102ND AVE SW
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City | FERTILE
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State | MN
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Zip | 56540-9192
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Country | US
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Telephone | 218-945-6655
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Fax |
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Provider Business Mailing Address
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Address Line | 43702 102ND AVE SW
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City | FERTILE
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State | MN
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Zip | 56540-9192
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Country | US
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Telephone | 218-945-6655
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Fax |
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Authorized Official
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Title or Position | GENERAL PARTNER
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Name | MRS. BELINDA LAURICE FJELD
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Credential |
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Telephone | 218-945-6655
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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 | 153684
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License Number State | MN
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