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General NPI Number Information
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NPI Number | 1629387246
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Entity Type | Organization
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Legal Business Name | 1ST ADVANCED TRANSPORTATION
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Dates
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Enumeration Date | 09/30/2010
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Last Update Date | 09/30/2010
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Provider Practice Location Address
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Address Line | 555 OFFICENTER PL SUITE 103
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City | GAHANNA
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State | OH
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Zip | 43230-5333
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Country | US
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Telephone | 614-348-9991
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Fax | 614-418-7085
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Provider Business Mailing Address
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Address Line | 555 OFFICENTER PL SUITE 103
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City | GAHANNA
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State | OH
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Zip | 43230-5333
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Country | US
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Telephone | 614-348-9991
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Fax | 614-418-7085
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | JOSHUA SCHOOLEY
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Credential | EMT-B
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Telephone | 614-348-9991
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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 | 255135
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 250012
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License Number State | OH
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