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General NPI Number Information
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NPI Number | 1740090679
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Entity Type | Organization
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Legal Business Name | HAWKS NO.1 SENIOR TRANSPORTATION SERVICE
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Dates
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Enumeration Date | 01/13/2025
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Last Update Date | 01/13/2025
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Provider Practice Location Address
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Address Line | 17910 VAN DYKE ST UNIT 1023
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City | DETROIT
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State | MI
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Zip | 48234-3954
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Country | US
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Telephone | 248-946-0497
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Fax |
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Provider Business Mailing Address
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Address Line | 17910 VAN DYKE ST STE 1023
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City | DETROIT
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State | MI
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Zip | 48234-3954
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Country | US
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Telephone | 947-948-7949
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | TERINA D RHODES
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Credential |
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Telephone | 947-948-7949
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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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