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General NPI Number Information
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NPI Number | 1306620356
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Entity Type | Organization
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Legal Business Name | UPSCALE TRANSPORTATION
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Dates
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Enumeration Date | 08/22/2023
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Last Update Date | 08/22/2023
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Provider Practice Location Address
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Address Line | 3159 W 50TH ST
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City | CLEVELAND
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State | OH
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Zip | 44102-5835
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Country | US
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Telephone | 216-317-4741
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Fax |
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Provider Business Mailing Address
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Address Line | 3159 W 50TH ST
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City | CLEVELAND
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State | OH
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Zip | 44102-5835
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Country | US
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Telephone | 216-317-4741
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING SPECIALIST
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Name | LISA SULLIVAN
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Credential |
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Telephone | 440-453-0754
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347E00000X
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Taxonomy Name | Transportation Broker
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License Number |
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License Number State |
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