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General NPI Number Information
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NPI Number | 1699300129
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Entity Type | Organization
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Legal Business Name | L & M TRANSPORT LLC
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Dates
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Enumeration Date | 03/05/2020
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Last Update Date | 03/05/2020
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Provider Practice Location Address
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Address Line | 7519 60TH AVE STE 100
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City | KENOSHA
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State | WI
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Zip | 53142-4016
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Country | US
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Telephone | 262-764-4252
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Fax | 262-264-0719
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Provider Business Mailing Address
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Address Line | 7519 60TH AVE STE 100
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City | KENOSHA
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State | WI
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Zip | 53142-4016
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Country | US
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Telephone | 262-764-4252
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. MARY ELLEN SCHOELL
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Credential | NEMT PROVIDER
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Telephone | 262-764-4252
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347E00000X
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Taxonomy Name | Transportation Broker
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License Number |
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License Number State |
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