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General NPI Number Information
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NPI Number | 1770932964
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Entity Type | Organization
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Legal Business Name | LIFE LONG TRANSPORTATION LLC
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Dates
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Enumeration Date | 06/08/2016
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Last Update Date | 02/28/2018
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Provider Practice Location Address
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Address Line | 17325 EUCLID AVE
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City | CLEVELAND
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State | OH
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Zip | 44112-1247
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Country | US
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Telephone | 216-491-1701
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Fax | 216-452-0613
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Provider Business Mailing Address
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Address Line | 390 DEEP CREEK CIRCLE
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City | NORTHFIELD
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State | OH
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Zip | 44067
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Country | US
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Telephone | 216-410-5707
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RICHARD SHURNEY
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Credential |
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Telephone | 216-491-1701
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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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