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General NPI Number Information
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NPI Number | 1164116182
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Entity Type | Organization
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Legal Business Name | REQUEST NON EMERGENCY MEDICAL SERVICES
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Dates
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Enumeration Date | 06/05/2023
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Last Update Date | 06/05/2023
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Provider Practice Location Address
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Address Line | 50480 BAY RUN N
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City | CHESTERFIELD
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State | MI
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Zip | 48047-4686
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Country | US
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Telephone | 810-309-9727
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Fax |
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Provider Business Mailing Address
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Address Line | 155 S MAIN ST UNIT 82
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City | MOUNT CLEMENS
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State | MI
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Zip | 48046-7704
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Country | US
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Telephone | 810-309-9727
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SEAN L POWELL
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Credential |
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Telephone | 586-234-9050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347E00000X
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Taxonomy Name | Transportation Broker
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License Number |
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License Number State |
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