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General NPI Number Information
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NPI Number | 1477090645
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Entity Type | Organization
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Legal Business Name | TRANSPRO LLC
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Dates
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Enumeration Date | 01/26/2017
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Last Update Date | 04/01/2020
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Provider Practice Location Address
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Address Line | 1208 SE LOUIS DR
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City | MULVANE
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State | KS
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Zip | 67110-1113
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Country | US
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Telephone | 316-260-3441
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Fax |
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Provider Business Mailing Address
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Address Line | 1429 N BROKEN ARROW RD
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City | PECK
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State | KS
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Zip | 67120-9057
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Country | US
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Telephone | 316-833-2220
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MRS. MARTHA L SLACK
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Credential | RN, BSN
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Telephone | 316-833-2220
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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 |
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