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General NPI Number Information
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NPI Number | 1588384382
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Entity Type | Organization
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Legal Business Name | FERN TRANSPORTATION INC.
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Dates
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Enumeration Date | 08/31/2022
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Last Update Date | 08/31/2022
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Provider Practice Location Address
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Address Line | 22409 LINDEN BLVD
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City | CAMBRIA HEIGHTS
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State | NY
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Zip | 11411-1726
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Country | US
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Telephone | 917-496-3309
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Fax |
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Provider Business Mailing Address
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Address Line | 10050 FRANCIS LEWIS BLVD
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City | QUEENS VILLAGE
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State | NY
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Zip | 11429-1056
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Country | US
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Telephone | 917-496-3309
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANDREA HARRIS
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Credential |
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Telephone | 347-480-9907
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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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Taxonomy #2
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Taxonomy Code | 344600000X
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Taxonomy Name | Taxi
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License Number |
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License Number State |
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