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General NPI Number Information
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NPI Number | 1669758553
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Entity Type | Organization
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Legal Business Name | TRANSPORTATION DIRECT LLC.
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Dates
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Enumeration Date | 10/24/2011
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Last Update Date | 10/24/2011
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Provider Practice Location Address
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Address Line | 6822 KINGSBURY ST
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City | DEARBORN HEIGHTS
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State | MI
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Zip | 48127-2121
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Country | US
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Telephone | 313-801-4444
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Fax | 313-429-3325
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Provider Business Mailing Address
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Address Line | 5647 N HIGHLAND ST
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City | DEARBORN HEIGHTS
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State | MI
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Zip | 48127-3249
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Country | US
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Telephone | 313-801-4444
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Fax | 313-429-3325
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Authorized Official
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Title or Position | OWNER
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Name | MR. JABER ALKARAWY
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Credential |
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Telephone | 313-801-4444
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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 | L2745
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License Number State | MI
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