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General NPI Number Information
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NPI Number | 1255709416
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Entity Type | Organization
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Legal Business Name | BILL'S MEDICAL TRANSPORTATION
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Dates
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Enumeration Date | 09/04/2015
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Last Update Date | 09/04/2015
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Provider Practice Location Address
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Address Line | 630 WEEKS ST
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City | NEW IBERIA
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State | LA
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Zip | 70560-5545
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Country | US
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Telephone | 337-376-1701
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Fax |
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Provider Business Mailing Address
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Address Line | 630 WEEKS ST
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City | NEW IBERIA
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State | LA
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Zip | 70560-5545
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Country | US
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Telephone | 337-376-1701
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KATHY RUSSELL
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Credential |
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Telephone | 337-376-1701
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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 | 004207988
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License Number State | LA
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