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General NPI Number Information
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NPI Number | 1285022418
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Entity Type | Organization
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Legal Business Name | OWATONNA FAMILY TRANSPORTATION
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Dates
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Enumeration Date | 12/22/2014
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Last Update Date | 12/22/2014
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Provider Practice Location Address
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Address Line | 474 SAINT PAUL PL
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City | OWATONNA
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State | MN
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Zip | 55060-1492
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Country | US
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Telephone | 507-213-1526
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Fax |
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Provider Business Mailing Address
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Address Line | 474 SAINT PAUL PL
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City | OWATONNA
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State | MN
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Zip | 55060-1492
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Country | US
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Telephone | 507-213-1526
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MRS. ZAHRO ALIN DAHIR
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Credential | B/S
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Telephone | 507-213-1526
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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 | MN
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Taxonomy #2
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number | 773705600022
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License Number State | MN
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