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General NPI Number Information
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NPI Number | 1114359809
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Entity Type | Organization
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Legal Business Name | FS COMPLETE TRANSPORTATION SERVICES, LLC
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Dates
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Enumeration Date | 08/05/2013
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Last Update Date | 08/05/2013
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Provider Practice Location Address
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Address Line | 29193 NORTHWESTERN HWY SUITE 679
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City | SOUTHFIELD
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State | MI
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Zip | 48034-1011
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Country | US
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Telephone | 248-809-2147
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Fax | 248-809-2417
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Provider Business Mailing Address
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Address Line | 29193 NORTHWESTERN HWY SUITE 679
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City | SOUTHFIELD
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State | MI
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Zip | 48034-1011
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Country | US
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Telephone | 248-809-2147
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Fax | 248-809-2417
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MR. KENNETH ALLEN TREACHER
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Credential |
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Telephone | 248-809-2147
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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 | L-2366
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License Number State | MI
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