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General NPI Number Information
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NPI Number | 1427415694
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Entity Type | Organization
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Legal Business Name | METRO TRANSPORTATION SERVICE INC.
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Dates
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Enumeration Date | 01/19/2016
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Last Update Date | 01/19/2016
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Provider Practice Location Address
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Address Line | 6309 ALTHORP CV
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City | LAKELAND
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State | TN
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Zip | 38002-7005
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Country | US
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Telephone | 901-487-9653
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Fax | 901-829-7766
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Provider Business Mailing Address
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Address Line | 6309 ALTHORP CV
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City | LAKELAND
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State | TN
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Zip | 38002-7005
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Country | US
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Telephone | 901-487-9653
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Fax | 901-829-7766
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Authorized Official
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Title or Position | CEO
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Name | MISS TEQUA MIMS
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Credential |
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Telephone | 901-487-9653
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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 | 113003348
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License Number State | TN
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