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General NPI Number Information
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NPI Number | 1265970297
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Entity Type | Organization
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Legal Business Name | AXXESS TRANSPORTATION LLC
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Dates
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Enumeration Date | 02/09/2017
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Last Update Date | 02/09/2017
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Provider Practice Location Address
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Address Line | 15800 PROVIDENCE DR APT 400
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City | SOUTHFIELD
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State | MI
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Zip | 48075-3132
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Country | US
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Telephone | 248-733-5496
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Fax | 248-443-8033
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Provider Business Mailing Address
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Address Line | 15800 PROVIDENCE DR APT 400
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City | SOUTHFIELD
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State | MI
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Zip | 48075-3132
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Country | US
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Telephone | 248-733-5496
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Fax | 248-443-8033
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Authorized Official
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Title or Position | MEMBER
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Name | MR. CINOL JOHN
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Credential |
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Telephone | 248-733-5496
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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 | F0120G
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License Number State | MI
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