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General NPI Number Information
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NPI Number | 1437595030
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Entity Type | Organization
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Legal Business Name | MEDICO TRANSPORT SYSTEM
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Dates
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Enumeration Date | 05/22/2013
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Last Update Date | 05/22/2013
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Provider Practice Location Address
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Address Line | 7365 S 4570 W
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City | SOUTH JORDAN
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State | UT
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Zip | 84084
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Country | US
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Telephone | 928-242-1411
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Fax | 888-762-9665
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Provider Business Mailing Address
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Address Line | PO BOX 25
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City | DRAPER
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State | UT
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Zip | 84020-0025
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Country | US
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Telephone | 928-242-1411
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Fax | 888-762-9665
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Authorized Official
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Title or Position | A/R MANAGER
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Name | MS. ROBYNN LEIGH LONGENBAUGH
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Credential | CPC
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Telephone | 928-242-1411
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416A0800X
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Taxonomy Name | Air Ambulance
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License Number |
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License Number State |
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