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General NPI Number Information
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NPI Number | 1437529054
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Entity Type | Organization
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Legal Business Name | TRANBY TRANSPORTATION LLC.
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Dates
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Enumeration Date | 09/25/2015
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Last Update Date | 09/25/2015
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Provider Practice Location Address
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Address Line | 1113 W 139TH ST
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City | BURNSVILLE
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State | MN
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Zip | 55337-4455
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Country | US
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Telephone | 612-309-9311
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Fax |
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Provider Business Mailing Address
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Address Line | 676 PACKER DR
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City | HUDSON
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State | WI
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Zip | 54016-7633
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Country | US
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Telephone | 612-309-9311
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. JOSEPH OLE TRANBY III
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Credential |
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Telephone | 612-309-9311
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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 | 381140
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License Number State | MN
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