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General NPI Number Information
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NPI Number | 1477958601
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Entity Type | Organization
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Legal Business Name | ADVANTAGE HOME MEDICAL TRANSPORTATION LLC
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Dates
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Enumeration Date | 10/30/2014
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Last Update Date | 10/30/2014
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Provider Practice Location Address
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Address Line | 850 N MERIDIAN RD
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City | YOUNGSTOWN
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State | OH
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Zip | 44509-4020
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Country | US
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Telephone | 330-797-1494
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Fax | 330-792-2161
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Provider Business Mailing Address
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Address Line | 850 N MERIDIAN RD SUITE A NORTH
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City | YOUNGSTOWN
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State | OH
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Zip | 44509-4020
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Country | US
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Telephone | 330-797-1494
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Fax | 330-792-2161
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Authorized Official
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Title or Position | MEMBER
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Name | MR. GREGORY A MOORE
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Credential |
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Telephone | 330-797-1494
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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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