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General NPI Number Information
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NPI Number | 1538428149
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Entity Type | Organization
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Legal Business Name | HOME COMFORT TRANSPORTATION, LLC
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Dates
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Enumeration Date | 05/16/2012
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Last Update Date | 05/16/2012
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Provider Practice Location Address
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Address Line | 5046 E 41ST ST
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City | INDIANAPOLIS
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State | IN
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Zip | 46226-4516
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Country | US
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Telephone | 317-937-8407
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Fax |
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Provider Business Mailing Address
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Address Line | 5046 E 41ST ST
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City | INDIANAPOLIS
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State | IN
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Zip | 46226-4516
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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 | DIRECTOR OF OPERATIONS
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Name | MR. MARQUES SPENCER
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Credential |
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Telephone | 317-937-8407
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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 | 2310-89-1187
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License Number State | IN
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