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General NPI Number Information
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NPI Number | 1710313622
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Entity Type | Organization
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Legal Business Name | PATIENT TRANSPORTATION INC
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Dates
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Enumeration Date | 09/24/2013
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Last Update Date | 12/11/2017
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Provider Practice Location Address
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Address Line | 1927 ROCK CLIFF DR
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City | MARTINSBURG
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State | WV
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Zip | 25401-2883
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Country | US
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Telephone | 304-264-0119
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Fax |
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Provider Business Mailing Address
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Address Line | 1927 ROCK CLIFF DR
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City | MARTINSBURG
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State | WV
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Zip | 25401-2883
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Country | US
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Telephone | 304-264-0119
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ABDOLLAH KHANI HADAVAND
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Credential |
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Telephone | 304-279-3953
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 60268
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number | 1107746808
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License Number State | WV
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