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NPI 1760206700

NPI 1760206700 : 4 POINT O NON-EMERGENCY MEDICAL TRANSPORTATION, INC. : NORWOOD YOUNG AMERICA, MN

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General NPI Number Information
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    NPI Number           |    1760206700
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    Entity Type          |    Organization 
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    Legal Business Name  |    4 POINT O NON-EMERGENCY MEDICAL TRANSPORTATION, INC. 
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Dates
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    Enumeration Date     |    11/14/2024
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    Last Update Date     |    11/14/2024
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Provider Practice Location Address
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    Address Line         |    13050 STEWART AVE 
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    City                 |    NORWOOD YOUNG AMERICA
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    State                |    MN
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    Zip                  |    55368-9769
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    Country              |    US
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    Telephone            |    952-246-1779
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    13050 STEWART AVE 
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    City                 |    NORWOOD YOUNG AMERICA
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    State                |    MN
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    Zip                  |    55368-9769
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    Country              |    US
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    Telephone            |    952-246-1779
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    Fax                  |    
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Authorized Official
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    Title or Position    |    NEMT OFFICE MANAGER
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    Name                 |    MRS. ELIZABETH RUTH WILHELMI 
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    Credential           |    ADMIN
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    Telephone            |    952-412-9899
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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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