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General NPI Number Information
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NPI Number | 1649514068
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Entity Type | Organization
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Legal Business Name | VAN GO TRANSPORTATION SERVICES, LLC
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Dates
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Enumeration Date | 11/26/2012
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Last Update Date | 11/26/2012
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Provider Practice Location Address
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Address Line | 354 S BROAD ST SUITE 120
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City | TRENTON
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State | NJ
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Zip | 08608-2502
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Country | US
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Telephone | 609-386-3322
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Fax |
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Provider Business Mailing Address
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Address Line | 345 S BROAD STREET SUITE 120
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City | TRENTON
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State | NJ
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Zip | 08611
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Country | US
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Telephone | 609-589-3345
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | RUTH WALTON
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Credential |
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Telephone | 609-386-3322
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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Taxonomy #2
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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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