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General NPI Number Information
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NPI Number | 1417475807
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Entity Type | Organization
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Legal Business Name | ABLE TO ASSIST TRANSPORTATION
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Dates
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Enumeration Date | 09/06/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 2121 ORANGE BLOSSOM CT
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City | INDIANAPOLIS
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State | IN
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Zip | 46229-4963
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Country | US
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Telephone | 317-989-1078
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Fax |
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Provider Business Mailing Address
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Address Line | 2121 ORANGE BLOSSOM CT
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City | INDIANAPOLIS
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State | IN
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Zip | 46229-4963
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Country | US
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Telephone | 317-989-1078
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. GARRY PEARSON JR.
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Credential | N/A
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Telephone | 317-989-1078
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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 | 38267744
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License Number State | IN
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