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General NPI Number Information
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NPI Number | 1689496093
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Entity Type | Organization
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Legal Business Name | QUALITY TRANSPORT SERVICES LLC
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Dates
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Enumeration Date | 10/28/2024
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Last Update Date | 10/28/2024
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Provider Practice Location Address
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Address Line | N19W24400 RIVERWOOD DR STE 350
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City | WAUKESHA
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State | WI
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Zip | 53188-1182
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Country | US
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Telephone | 262-832-3775
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Fax |
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Provider Business Mailing Address
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Address Line | 4334 NAKOOSA TRL APT 4
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City | MADISON
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State | WI
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Zip | 53714-1352
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Country | US
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Telephone | 608-419-6574
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MR. SAMUEL ANTIONE TERRY
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Credential |
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Telephone | 608-419-6574
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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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Taxonomy #2
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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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