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General NPI Number Information
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NPI Number | 1548692825
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Entity Type | Organization
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Legal Business Name | AMITY SHUTTLE INC
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Dates
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Enumeration Date | 08/08/2013
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Last Update Date | 08/08/2013
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Provider Practice Location Address
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Address Line | 116 BROADWAY SUITE-7
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City | AMITYVILLE
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State | NY
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Zip | 11701-2797
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Country | US
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Telephone | 631-842-2000
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Fax | 631-842-2500
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Provider Business Mailing Address
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Address Line | 30 CARROL ST
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City | AMITYVILLE
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State | NY
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Zip | 11701-1852
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Country | US
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Telephone | 631-842-2000
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Fax | 631-842-2500
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. KIEN P ANGUS
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Credential |
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Telephone | 516-790-2600
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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 | 343900000X
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License Number State | NY
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