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General NPI Number Information
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NPI Number | 1447549720
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Entity Type | Organization
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Legal Business Name | PATRIOT MEDICAL TRANSPORT INC.
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Dates
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Enumeration Date | 04/07/2011
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Last Update Date | 12/13/2024
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Provider Practice Location Address
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Address Line | 9938 PREBLE COUNTY LINE RD
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City | MIDDLETOWN
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State | OH
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Zip | 45042-9425
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Country | US
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Telephone | 937-564-2235
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Fax |
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Provider Business Mailing Address
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Address Line | 9938 PREBLE COUNTY LINE RD
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City | MIDDLETOWN
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State | OH
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Zip | 45042-9425
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Country | US
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Telephone | 937-564-2235
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TONYA ROBIN ELLIS
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Credential |
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Telephone | 937-564-2235
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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 | 68-507-5
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License Number State | OH
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