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General NPI Number Information
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NPI Number | 1508429879
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Entity Type | Organization
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Legal Business Name | MOUNT OLYMPUS ENTERPRISES DBA POSEIDEN TRANSPORTATION L.L.C.
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Dates
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Enumeration Date | 04/22/2019
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Last Update Date | 04/22/2019
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Provider Practice Location Address
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Address Line | 1271 EASTERN AVE
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City | GALLIPOLIS
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State | OH
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Zip | 45631-1702
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Country | US
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Telephone | 740-577-2536
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Fax |
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Provider Business Mailing Address
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Address Line | 1271 EASTERN AVE
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City | GALLIPOLIS
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State | OH
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Zip | 45631-1702
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OPERATIONS SUPERVISOR
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Name | MR. CHRISTIAN JACOB CREMEANS
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Credential |
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Telephone | 740-288-5960
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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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