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General NPI Number Information
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NPI Number | 1396992285
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Entity Type | Organization
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Legal Business Name | PLANET MEDICAL TRANSPORTATION LLC
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Dates
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Enumeration Date | 08/21/2008
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Last Update Date | 08/21/2008
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Provider Practice Location Address
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Address Line | 4441 SILSBY RD
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City | UNIVERSITY HEIGHTS
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State | OH
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Zip | 44118-3938
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Country | US
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Telephone | 216-381-5858
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Fax | 216-381-9028
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Provider Business Mailing Address
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Address Line | 4441 SILSBY RD
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City | UNIVERSITY HEIGHTS
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State | OH
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Zip | 44118-3938
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Country | US
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Telephone | 216-381-5858
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Fax | 216-381-9028
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Authorized Official
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Title or Position | PRESIDENT
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Name | MISS HELENA A GLAZER
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Credential |
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Telephone | 216-381-5858
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number | DHF3896
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License Number State | OH
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