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General NPI Number Information
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NPI Number | 1649441957
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Entity Type | Organization
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Legal Business Name | LYONS TRANSPORT INC.
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Dates
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Enumeration Date | 03/13/2008
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Last Update Date | 03/13/2008
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Provider Practice Location Address
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Address Line | 29532 SOUTHFIELD RD 101
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City | SOUTHFIELD
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State | MI
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Zip | 48076-2023
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Country | US
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Telephone | 248-559-5591
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Fax | 248-559-5771
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Provider Business Mailing Address
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Address Line | 29532 SOUTHFIELD RD 101
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City | SOUTHFIELD
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State | MI
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Zip | 48076-2023
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Country | US
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Telephone | 248-559-5591
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Fax |
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Authorized Official
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Title or Position | SENIOR OFFICE MGR
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Name | VANITA GREENE
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Credential | NA
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Telephone | 877-566-3383
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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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