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General NPI Number Information
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NPI Number | 1619225877
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Entity Type | Organization
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Legal Business Name | DS ONTIME TRANSPORTATION INC.
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Dates
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Enumeration Date | 08/20/2012
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Last Update Date | 08/20/2012
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Provider Practice Location Address
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Address Line | 8905 E JEFFERSON AVE SUITE #903
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City | DETROIT
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State | MI
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Zip | 48214-4182
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Country | US
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Telephone | 313-887-1299
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Fax | 313-887-9981
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Provider Business Mailing Address
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Address Line | 8905 E JEFFERSON AVE SUITE #903
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City | DETROIT
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State | MI
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Zip | 48214-4182
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Country | US
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Telephone | 313-887-1299
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Fax | 313-887-9981
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Authorized Official
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Title or Position | CEO.
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Name | DERRICK GLENN THORNTON SR.
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Credential | LIMO,CERTIFIED
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Telephone | 313-887-1299
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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 | 2935
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License Number State | MI
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