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General NPI Number Information
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NPI Number | 1255088001
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Entity Type | Organization
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Legal Business Name | STEWART FRANK TRANSPORTATION LLC
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Dates
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Enumeration Date | 03/02/2022
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Last Update Date | 04/18/2022
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Provider Practice Location Address
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Address Line | 241 W FEDERAL ST STE 501
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City | YOUNGSTOWN
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State | OH
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Zip | 44503-1207
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Country | US
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Telephone | 330-967-0097
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Fax |
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Provider Business Mailing Address
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Address Line | 4496 MAHONING AVE # 987
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City | YOUNGSTOWN
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State | OH
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Zip | 44515-1601
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Country | US
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Telephone | 330-967-0097
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. SHANE K FLOYD
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Credential | PH.D.
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Telephone | 330-501-4020
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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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