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General NPI Number Information
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NPI Number | 1609113711
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Entity Type | Organization
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Legal Business Name | SPEEDY TRANSPORT SERVICE
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Dates
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Enumeration Date | 01/09/2013
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Last Update Date | 01/09/2013
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Provider Practice Location Address
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Address Line | 9225 W EDGEWATER DR
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City | MILWAUKEE
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State | WI
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Zip | 53224-5263
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Country | US
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Telephone | 414-760-3304
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Fax |
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Provider Business Mailing Address
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Address Line | 9225 W EDGEWATER DR
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City | MILWAUKEE
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State | WI
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Zip | 53224-5263
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Country | US
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Telephone | 414-760-3304
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. DENISE RHODES
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Credential |
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Telephone | 414-760-3304
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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 | #2324726
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License Number State | WI
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