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General NPI Number Information
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NPI Number | 1780932012
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Entity Type | Organization
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Legal Business Name | ALI TRANSPORTATION LLC
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Dates
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Enumeration Date | 08/16/2012
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Last Update Date | 08/16/2012
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Provider Practice Location Address
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Address Line | 1604 BYRON DR
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City | SOUTH BEND
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State | IN
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Zip | 46614-2855
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Country | US
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Telephone | 574-231-8749
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Fax | 574-299-1201
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Provider Business Mailing Address
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Address Line | 1604 BYRON DR
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City | SOUTH BEND
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State | IN
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Zip | 46614-2855
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Country | US
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Telephone | 574-231-8749
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Fax | 574-299-1201
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Authorized Official
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Title or Position | OWNER
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Name | MR. CHRISTOPHER J DENNIG
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Credential |
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Telephone | 574-532-7593
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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 | 94086
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License Number State | IN
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