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General NPI Number Information
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NPI Number | 1710313168
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Entity Type | Organization
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Legal Business Name | SPRINTER SHUTTLE SERVICE INC
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Dates
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Enumeration Date | 09/17/2013
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Last Update Date | 09/18/2013
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Provider Practice Location Address
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Address Line | 251 W IDAHO AVE # 55
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City | ONTARIO
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State | OR
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Zip | 97914-2433
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Country | US
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Telephone | 541-709-7889
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Fax | 541-889-6661
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Provider Business Mailing Address
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Address Line | 636 BUTLER BLVD
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City | ONTARIO
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State | OR
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Zip | 97914-8610
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Country | US
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Telephone | 541-709-7889
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Fax | 541-889-6661
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Authorized Official
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Title or Position | SECRETARY
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Name | GEORGE AMOS PIENAAR
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Credential |
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Telephone | 541-709-7889
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 8878
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License Number State | ID
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