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General NPI Number Information
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NPI Number | 1336427889
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Entity Type | Organization
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Legal Business Name | COMFORT TRANSPORTATION
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Dates
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Enumeration Date | 08/02/2011
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Last Update Date | 08/02/2011
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Provider Practice Location Address
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Address Line | 11887 RIVER HILLS DR
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City | BURNSVILLE
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State | MN
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Zip | 55337
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Country | US
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Telephone | 612-396-5269
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Fax |
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Provider Business Mailing Address
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Address Line | P.O. BOX 22226
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City | EAGAN
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State | MN
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Zip | 55122-0226
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Country | US
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Telephone | 612-396-5269
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Fax | 952-736-9555
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Authorized Official
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Title or Position | OWNER
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Name | KIMBERLY LINH NGUYEN
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Credential |
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Telephone | 612-396-5269
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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 | 4253576-2
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License Number State | MN
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