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General NPI Number Information
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NPI Number | 1346626710
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Entity Type | Organization
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Legal Business Name | PROFESSIONAL TRANSPORTATION, INC.
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Dates
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Enumeration Date | 08/07/2015
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Last Update Date | 08/07/2015
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Provider Practice Location Address
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Address Line | 3700 E MORGAN AVE
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City | EVANSVILLE
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State | IN
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Zip | 47715-2240
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Country | US
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Telephone | 812-459-8745
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Fax | 812-485-3653
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Provider Business Mailing Address
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Address Line | 3700 E MORGAN AVE
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City | EVANSVILLE
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State | IN
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Zip | 47715-2240
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Country | US
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Telephone | 812-459-8745
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Fax | 812-485-3653
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Authorized Official
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Title or Position | VICE PRESIDENT TRANSPORTATION
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Name | MR. STEVEN RAE MCCLELLAN
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Credential |
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Telephone | 812-459-8745
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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 | IN
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