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General NPI Number Information
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NPI Number | 1346868239
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Entity Type | Organization
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Legal Business Name | NBH MEDICAL TRANSPORT SERVICE LLC
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Dates
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Enumeration Date | 07/08/2020
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Last Update Date | 07/08/2020
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Provider Practice Location Address
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Address Line | 3134 E STATE ST
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City | FREMONT
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State | OH
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Zip | 43420-9280
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Country | US
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Telephone | 419-332-3911
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Fax |
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Provider Business Mailing Address
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Address Line | 21564 CEDAR BRANCH TRL
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City | STRONGSVILLE
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State | OH
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Zip | 44149-1286
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Country | US
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Telephone | 216-374-5988
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | RUSSELL MOENICH
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Credential |
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Telephone | 216-374-5988
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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 |
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