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General NPI Number Information
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NPI Number | 1093278384
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Entity Type | Organization
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Legal Business Name | MILESTONE TRANSPORTATION SERVICES, LLC
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Dates
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Enumeration Date | 04/12/2019
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Last Update Date | 08/02/2019
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Provider Practice Location Address
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Address Line | 3055 OLD HIGHWAY 8 STE 107
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City | ST ANTHONY
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State | MN
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Zip | 55418-2500
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Country | US
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Telephone | 612-707-3491
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Fax |
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Provider Business Mailing Address
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Address Line | 6540 E RIVER RD APT 338
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City | FRIDLEY
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State | MN
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Zip | 55432-4271
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | ABDULRAZAK MUSA
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Credential |
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Telephone | 612-707-3491
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 344600000X
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Taxonomy Name | Taxi
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License Number |
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License Number State |
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