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General NPI Number Information
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NPI Number | 1518451228
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Entity Type | Organization
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Legal Business Name | KINGS TRANSPORTATION SERVICES
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Dates
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Enumeration Date | 06/15/2018
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Last Update Date | 06/15/2018
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Provider Practice Location Address
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Address Line | 1100 W BAGLEY RD STE 203
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City | BEREA
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State | OH
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Zip | 44017-2925
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Country | US
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Telephone | 440-214-7346
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Fax | 440-348-7346
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Provider Business Mailing Address
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Address Line | 1100 W BAGLEY RD STE 203
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City | BEREA
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State | OH
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Zip | 44017-2925
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Country | US
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Telephone | 440-214-7346
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Fax | 440-348-7346
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Authorized Official
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Title or Position | OWNER
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Name | MR. KINSGLEY LUNGA
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Credential | MBA
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Telephone | 440-214-7345
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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 | 180735
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License Number State | OH
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