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General NPI Number Information
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NPI Number | 1346654274
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Entity Type | Organization
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Legal Business Name | WE TRANSPORT, LLC
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Dates
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Enumeration Date | 06/18/2014
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Last Update Date | 06/18/2014
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Provider Practice Location Address
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Address Line | 19785 W 12 MILE RD SUITE #450
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City | SOUTHFIELD
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State | MI
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Zip | 48076-2584
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Country | US
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Telephone | 248-343-2423
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Fax | 248-355-5491
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Provider Business Mailing Address
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Address Line | 19785 W 12 MILE RD SUITE #450
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City | SOUTHFIELD
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State | MI
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Zip | 48076-2584
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Country | US
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Telephone | 248-343-2423
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Fax | 248-355-5491
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MR. PAIGE ANDRE WILLIAMS SR.
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Credential | P. E.
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Telephone | 248-343-2423
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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 | L10024
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License Number State | MI
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