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General NPI Number Information
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NPI Number | 1154582229
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Entity Type | Organization
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Legal Business Name | ANDCO MEDICAL TRANSPORTATION, INC
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Dates
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Enumeration Date | 06/21/2008
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Last Update Date | 06/21/2008
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Provider Practice Location Address
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Address Line | 1231 OAK MNR
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City | BEDFORD
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State | IN
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Zip | 47421-2736
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Country | US
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Telephone | 812-275-6107
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Fax | 812-275-6107
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Provider Business Mailing Address
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Address Line | 1231 OAK MNR
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City | BEDFORD
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State | IN
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Zip | 47421-2736
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Country | US
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Telephone | 812-275-6107
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Fax | 812-275-6107
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. MADALYN K. EAGAN
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Credential |
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Telephone | 812-275-6107
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number | DLN8946656523
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License Number State | IN
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