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General NPI Number Information
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NPI Number | 1245454792
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Entity Type | Organization
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Legal Business Name | MINUTEMAN TRANSPORTATION
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Dates
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Enumeration Date | 04/13/2007
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Last Update Date | 05/22/2008
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Provider Practice Location Address
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Address Line | 9208 HONEY CREEPER CT
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City | BURKE
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State | VA
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Zip | 22015-3326
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Country | US
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Telephone | 703-459-0922
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Fax | 703-992-0234
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Provider Business Mailing Address
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Address Line | 9208 HONEY CREEPER CT
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City | BURKE
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State | VA
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Zip | 22015-3326
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Country | US
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Telephone | 703-459-0922
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Fax | 703-992-0234
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. WILLIAM AYENSON
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Credential |
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Telephone | 301-585-5830
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 482
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License Number State | DC
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