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General NPI Number Information
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NPI Number | 1619742392
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Entity Type | Organization
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Legal Business Name | MAX CARE MEDICAL TRANSPORTATION
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Dates
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Enumeration Date | 11/22/2023
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Last Update Date | 02/25/2024
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Provider Practice Location Address
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Address Line | 333 W BROWN DEER RD # 692
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City | MILWAUKEE
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State | WI
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Zip | 53217-2372
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Country | US
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Telephone | 262-228-5225
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Fax |
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Provider Business Mailing Address
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Address Line | 333 W BROWN DEER RD # 692
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City | MILWAUKEE
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State | WI
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Zip | 53217-2372
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Country | US
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Telephone | 262-228-5225
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | TREVION XAVIER YOUNG
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Credential |
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Telephone | 682-265-7888
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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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