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General NPI Number Information
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NPI Number | 1417318734
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Entity Type | Organization
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Legal Business Name | ACT TRANSPORTATION
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Dates
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Enumeration Date | 03/14/2016
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Last Update Date | 03/14/2016
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Provider Practice Location Address
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Address Line | 4536 OWENSVILLE SUDLEY RD
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City | HARWOOD
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State | MD
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Zip | 20776-9403
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Country | US
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Telephone | 240-674-2774
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Fax |
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Provider Business Mailing Address
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Address Line | 4536 OWENSVILLE SUDLEY RD
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City | HARWOOD
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State | MD
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Zip | 20776-9403
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Country | US
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Telephone | 240-674-2774
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MR. GERALD W ADCOCK JR.
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Credential | NRP/CCP
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Telephone | 240-674-2774
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 | MD
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