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General NPI Number Information
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NPI Number | 1275890295
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Entity Type | Organization
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Legal Business Name | ALPHA AND OMEGA TRANSIT NETWORK, INC.
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Dates
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Enumeration Date | 04/15/2012
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Last Update Date | 11/15/2016
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Provider Practice Location Address
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Address Line | 2915 N OAKLAND AVE
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City | DECATUR
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State | IL
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Zip | 62526-1507
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Country | US
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Telephone | 217-330-7810
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Fax | 217-203-0065
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Provider Business Mailing Address
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Address Line | 2915 N OAKLAND AVE
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City | DECATUR
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State | IL
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Zip | 62526-1507
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Country | US
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Telephone | 217-330-7810
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Fax | 217-203-0065
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Authorized Official
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Title or Position | OPERATION MANAGER
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Name | MR. CHARLES DAVID DOTY
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Credential |
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Telephone | 217-330-7810
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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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