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General NPI Number Information
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NPI Number | 1811008360
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Entity Type | Organization
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Legal Business Name | NATIONAL MEDTRANS NETWORK INC.
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 10/31/2013
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Provider Practice Location Address
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Address Line | 990 S 2ND ST STE. 1
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City | RONKONKOMA
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State | NY
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Zip | 11779-7258
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Country | US
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Telephone | 631-389-2098
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Fax | 631-218-4457
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Provider Business Mailing Address
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Address Line | 992 S 2ND ST
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City | RONKONKOMA
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State | NY
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Zip | 11779-7204
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Country | US
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Telephone | 631-389-2098
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Fax | 631-218-4457
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Authorized Official
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Title or Position | SECRETARY
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Name | ANDREW WINAKOR
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Credential |
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Telephone | 516-807-9324
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347E00000X
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Taxonomy Name | Transportation Broker
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License Number |
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License Number State |
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