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General NPI Number Information
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NPI Number | 1356781652
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Entity Type | Organization
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Legal Business Name | ALL TRAVEL TRANSPORTATION, INC
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Dates
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Enumeration Date | 07/01/2013
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Last Update Date | 07/01/2013
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Provider Practice Location Address
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Address Line | 3895 BODIA DR
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City | WARREN
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State | MI
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Zip | 48091-6516
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Country | US
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Telephone | 248-595-5282
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Fax | 586-510-4334
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Provider Business Mailing Address
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Address Line | 3895 BODIA DR
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City | WARREN
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State | MI
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Zip | 48091-6516
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Country | US
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Telephone | 586-265-7313
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Fax | 586-510-4334
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Authorized Official
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Title or Position | PRESIDENT
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Name | JAN SHAMOON
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Credential |
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Telephone | 248-595-5282
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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 | MI
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