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General NPI Number Information
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NPI Number | 1205036860
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Entity Type | Organization
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Legal Business Name | MZM TRANSPORT INC.
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Dates
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Enumeration Date | 07/23/2007
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Last Update Date | 06/16/2008
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Provider Practice Location Address
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Address Line | 11512 SUPERIOR AVE
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City | CLEVELAND
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State | OH
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Zip | 44106-1343
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Country | US
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Telephone | 216-795-1700
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Fax | 216-795-7090
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Provider Business Mailing Address
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Address Line | 11512 SUPERIOR AVE
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City | CLEVELAND
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State | OH
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Zip | 44106-1343
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Country | US
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Telephone | 216-795-1700
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Fax | 216-795-7090
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Authorized Official
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Title or Position | MANAGER
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Name | MR. RICKY HAMED
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Credential |
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Telephone | 216-795-1700
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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 | 52687964
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License Number State | OH
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