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General NPI Number Information
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NPI Number | 1457559700
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Entity Type | Organization
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Legal Business Name | EXPRESS MEDICAL TRANSPORTATION INC
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Dates
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Enumeration Date | 07/09/2007
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Last Update Date | 09/16/2024
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Provider Practice Location Address
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Address Line | 659 PARK MEADOW RD STE A
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City | WESTERVILLE
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State | OH
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Zip | 43081-2879
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Country | US
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Telephone | 614-898-7777
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Fax | 614-898-7775
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Provider Business Mailing Address
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Address Line | 2439 MORSE RD
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City | COLUMBUS
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State | OH
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Zip | 43229-5855
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Country | US
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Telephone | 614-419-8931
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MR. ALIDAHIR Y MOHAMED
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Credential |
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Telephone | 614-419-8931
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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 |
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License Number State | OH
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