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General NPI Number Information
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NPI Number | 1386464261
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Entity Type | Organization
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Legal Business Name | ICARE NEMT LLC
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Dates
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Enumeration Date | 10/15/2024
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Last Update Date | 10/15/2024
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Provider Practice Location Address
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Address Line | 220 W CONGRESS ST FL 2
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City | DETROIT
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State | MI
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Zip | 48226-3289
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Country | US
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Telephone | 866-422-7301
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Fax |
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Provider Business Mailing Address
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Address Line | 2100 NEWBURGH DR
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City | TROY
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State | MI
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Zip | 48083-2510
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Country | US
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Telephone | 866-422-7301
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. DAMIOUS EASON
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Credential |
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Telephone | 866-422-7301
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 342000000X
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Taxonomy Name | Transportation Network Company
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 347B00000X
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Taxonomy Name | Bus
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License Number |
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License Number State |
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Taxonomy #3
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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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