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General NPI Number Information
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NPI Number | 1336056506
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Entity Type | Organization
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Legal Business Name | ONE ON ONE SUPPORTIVE TRANSPORT
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Dates
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Enumeration Date | 08/25/2026
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Last Update Date | 08/25/2026
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Provider Practice Location Address
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Address Line | 5032 N 33RD ST
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City | MILWAUKEE
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State | WI
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Zip | 53209-5433
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Country | US
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Telephone | 262-454-8013
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Fax |
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Provider Business Mailing Address
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Address Line | 5032 N 33RD ST
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City | MILWAUKEE
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State | WI
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Zip | 53209-5433
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Country | US
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Telephone | 262-454-8013
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | LATICE EVANS
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Credential |
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Telephone | 262-454-8013
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 342000000X
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Taxonomy Name | Transportation Network Company
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License Number |
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License Number State |
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