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General NPI Number Information
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NPI Number | 1093095754
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Entity Type | Organization
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Legal Business Name | GOING YOUR WAY TRANSPORT L.L.C
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Dates
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Enumeration Date | 08/25/2011
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Last Update Date | 08/25/2011
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Provider Practice Location Address
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Address Line | 27801 EUCLID AVE STE 500
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City | EUCLID
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State | OH
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Zip | 44132-3500
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Country | US
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Telephone | 216-261-8919
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Fax |
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Provider Business Mailing Address
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Address Line | 8109 KORMAN AVE
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City | CLEVELAND
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State | OH
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Zip | 44103-2139
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Country | US
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Telephone | 216-261-8919
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. INDIA MARBUERY
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Credential |
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Telephone | 216-261-8919
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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 | 188875
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License Number State | OH
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