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General NPI Number Information
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NPI Number | 1447372057
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Entity Type | Organization
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Legal Business Name | PROFESSIONAL TRANSPORTATION CORP.
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Dates
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Enumeration Date | 04/04/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 7619 ROCKAWAY BLVD
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City | WOODHAVEN
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State | NY
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Zip | 11421-2842
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Country | US
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Telephone | 718-296-2400
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Fax | 718-296-8169
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Provider Business Mailing Address
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Address Line | 7619 ROCKAWAY BLVD
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City | WOODHAVEN
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State | NY
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Zip | 11421-2842
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Country | US
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Telephone | 718-296-2400
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Fax | 718-296-8169
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Authorized Official
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Title or Position | V.P. MARKETING & SALES
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Name | MR. WARREN SCOTT
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Credential |
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Telephone | 718-296-2400
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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 | C-30586
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License Number State | NY
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