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General NPI Number Information
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NPI Number | 1174667414
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Entity Type | Organization
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Legal Business Name | ATLANTIC MEDICAL TRANSPORTAION
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Dates
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Enumeration Date | 02/19/2007
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Last Update Date | 08/04/2021
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Provider Practice Location Address
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Address Line | 5241 WILSON MILLS RD STE 26
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City | RICHMOND HEIGHTS
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State | OH
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Zip | 44143-2142
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Country | US
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Telephone | 216-849-7464
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Fax |
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Provider Business Mailing Address
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Address Line | 5241 WILSON MILLS RD STE 26
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City | RICHMOND HEIGHTS
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State | OH
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Zip | 44143-2142
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Country | US
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Telephone | 216-849-7464
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Fax |
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Authorized Official
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Title or Position | AO
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Name | MRS. LIZA GRINBERG
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Credential |
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Telephone | 216-531-9666
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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 | 2384478
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License Number State | OH
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