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General NPI Number Information
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NPI Number | 1487039855
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Entity Type | Organization
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Legal Business Name | B&B MEDICAL TRANSPORTATION, INC
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Dates
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Enumeration Date | 07/27/2015
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Last Update Date | 07/27/2015
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Provider Practice Location Address
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Address Line | 27801 EUCLID AVE STE 5608
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City | EUCLID
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State | OH
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Zip | 44132-3555
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Country | US
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Telephone | 216-673-4393
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Fax |
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Provider Business Mailing Address
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Address Line | 5335 WISCONSIN AVE NW STE 720
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City | WASHINGTON
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State | DC
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Zip | 20015-2092
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Country | US
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Telephone | 202-721-7225
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. DARIUS MILES
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Credential |
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Telephone | 216-673-4393
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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 | M42017281288
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License Number State | IL
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