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General NPI Number Information
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NPI Number | 1619091360
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Entity Type | Organization
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Legal Business Name | GRANT MEDICAL TRANSPORTATION, INC
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 03/31/2010
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Provider Practice Location Address
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Address Line | 4351 PINNACLE STREET
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City | PORT CHARLOTTE
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State | FL
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Zip | 33980-2902
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Country | US
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Telephone | 941-743-3665
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Fax | 941-629-2193
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Provider Business Mailing Address
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Address Line | 4351 PINNACLE STREET
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City | PORT CHARLOTTE
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State | FL
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Zip | 33980-2902
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Country | US
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Telephone | 941-743-3665
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Fax | 941-629-2193
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | ALAN J SKAVRONECK
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Credential |
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Telephone | 941-613-6427
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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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