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General NPI Number Information
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NPI Number | 1598965535
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Entity Type | Organization
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Legal Business Name | ALTON'S TRANSPORT LLC
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Dates
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Enumeration Date | 07/18/2007
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Last Update Date | 07/18/2007
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Provider Practice Location Address
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Address Line | 4347 HEWITT ST APT C
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City | GREENSBORO
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State | NC
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Zip | 27407-2088
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Country | US
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Telephone | 336-638-2472
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Fax |
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Provider Business Mailing Address
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Address Line | 4347 HEWITT ST APT C
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City | GREENSBORO
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State | NC
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Zip | 27407-2088
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Country | US
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Telephone | 336-638-2472
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. DENNIS ALTON MILLINER
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Credential |
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Telephone | 336-638-2472
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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 | 155721
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License Number State | NC
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