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General NPI Number Information
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NPI Number | 1588259287
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Entity Type | Organization
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Legal Business Name | COLLIN COUNTY TRANSPORTATION LLC
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Dates
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Enumeration Date | 03/04/2021
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Last Update Date | 03/04/2021
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Provider Practice Location Address
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Address Line | 7172 SAINT AUGUSTINE DR
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City | FRISCO
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State | TX
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Zip | 75033-3156
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Country | US
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Telephone | 469-952-7772
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Fax | 469-519-4950
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Provider Business Mailing Address
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Address Line | 8992 PRESTON RD # 110-407
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City | FRISCO
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State | TX
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Zip | 75034-3965
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Country | US
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Telephone | 469-952-7772
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | KEVIN RYAN
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Credential |
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Telephone | 469-952-7772
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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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