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General NPI Number Information
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NPI Number | 1407405285
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Entity Type | Organization
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Legal Business Name | KETTERING TRANSPORTATION SERVICES LLC
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Dates
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Enumeration Date | 09/05/2019
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Last Update Date | 11/06/2024
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Provider Practice Location Address
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Address Line | 1516 NICHOLAS RD
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City | DAYTON
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State | OH
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Zip | 45417-6713
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Country | US
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Telephone | 937-762-5919
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Fax |
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Provider Business Mailing Address
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Address Line | 1050 FORRER BLVD STE 110
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City | KETTERING
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State | OH
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Zip | 45420-1472
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Country | US
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Telephone | 937-762-5919
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | ANDY HILL
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Credential |
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Telephone | 937-762-5934
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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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Taxonomy #2
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number |
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License Number State |
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