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General NPI Number Information
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NPI Number | 1679743736
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Entity Type | Organization
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Legal Business Name | SOUTHDALE TRANSPORTATION SERVICES, INC.
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Dates
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Enumeration Date | 03/05/2008
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Last Update Date | 08/10/2011
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Provider Practice Location Address
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Address Line | 7200 FRANCE AVE S STE 333
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City | EDINA
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State | MN
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Zip | 55435-4310
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Country | US
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Telephone | 612-332-8990
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Fax | 612-332-8993
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Provider Business Mailing Address
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Address Line | PO BOX 582799
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City | MINNEAPOLIS
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State | MN
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Zip | 55458-2799
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Country | US
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Telephone | 612-332-8990
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Fax | 612-332-8993
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Authorized Official
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Title or Position | OWNER
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Name | MR. NUR S SAYID
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Credential |
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Telephone | 612-332-8990
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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 | 371708
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License Number State | MN
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