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General NPI Number Information
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NPI Number | 1679934863
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Entity Type | Organization
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Legal Business Name | EXCHANGE UR CARE TRANSPORTATION, LLC
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Dates
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Enumeration Date | 03/15/2016
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Last Update Date | 03/15/2016
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Provider Practice Location Address
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Address Line | 865 28TH ST SE STE 700
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City | GRAND RAPIDS
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State | MI
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Zip | 49508-1313
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Country | US
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Telephone | 616-272-3117
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Fax | 616-350-9889
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Provider Business Mailing Address
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Address Line | 865 28TH ST SE STE 700
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City | GRAND RAPIDS
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State | MI
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Zip | 49508-1313
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Country | US
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Telephone | 616-272-3117
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Fax | 616-350-9889
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Authorized Official
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Title or Position | OWNER/ OPERATOR
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Name | LATRICIA JOYCE LOMAX
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Credential |
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Telephone | 616-893-3113
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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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