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General NPI Number Information
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NPI Number | 1295005312
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Entity Type | Organization
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Legal Business Name | EXPRESS SERVICES UNLIMITED, INC.
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Dates
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Enumeration Date | 01/05/2012
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Last Update Date | 01/05/2012
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Provider Practice Location Address
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Address Line | 37506 HILLS CREEK ROAD
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City | SPRINGFIELD
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State | OR
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Zip | 97478
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Country | US
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Telephone | 541-726-2010
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Fax | 541-747-2090
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Provider Business Mailing Address
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Address Line | 37506 HILLS CREEK ROAD
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City | SPRINGFIELD
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State | OR
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Zip | 97478
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Country | US
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Telephone | 541-726-2010
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Fax | 541-747-2090
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Authorized Official
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Title or Position | OWNER
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Name | MR. MICHAEL W. DUNKS SR.
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Credential |
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Telephone | 541-726-2010
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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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