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General NPI Number Information
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NPI Number | 1225165160
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Entity Type | Organization
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Legal Business Name | SPECIAL CARE TRANSPORT INC
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3320 INDUSTRIAL AVENUE
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City | SPRINGFIELD
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State | OR
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Zip | 97478-5647
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Country | US
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Telephone | 541-746-6779
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Fax | 541-746-6769
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Provider Business Mailing Address
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Address Line | 3320 INDUSTRIAL AVENUE
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City | SPRINGFIELD
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State | OR
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Zip | 97478-5647
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Country | US
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Telephone | 541-746-6779
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Fax | 541-746-6769
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Authorized Official
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Title or Position | CO OWNER MANAGER
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Name | MR. CHRISTOPHER HARRY SMITH
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Credential |
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Telephone | 541-746-6779
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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 |
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License Number State |
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