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General NPI Number Information
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NPI Number | 1679530497
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Entity Type | Organization
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Legal Business Name | REGIONAL TRANSPORT
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Dates
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Enumeration Date | 04/26/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1910 OLD MAIN
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City | MAYSVILLE
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State | KY
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Zip | 41056
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Country | US
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Telephone | 606-759-5993
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Fax | 606-759-8426
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Provider Business Mailing Address
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Address Line | PO BOX 164
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City | WASHINGTON
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State | KY
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Zip | 41096
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Country | US
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Telephone | 606-759-5993
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Fax | 606-759-8426
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Authorized Official
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Title or Position | CO-OWNER ASST DIRECTOR
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Name | MRS. JILL P MCKIBBEN
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Credential |
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Telephone | 606-759-5993
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 3003
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License Number State | KY
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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 | 1645
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License Number State | KY
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