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General NPI Number Information
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NPI Number | 1811385545
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Entity Type | Organization
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Legal Business Name | ATC MEDICAL TRANSPORT
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Dates
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Enumeration Date | 01/05/2015
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Last Update Date | 01/05/2015
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Provider Practice Location Address
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Address Line | 1382 GALLO RD
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City | HARRINGTON
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State | DE
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Zip | 19952-4460
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Country | US
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Telephone | 302-265-6269
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 542
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City | MILFORD
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State | DE
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Zip | 19963-0542
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANDREW NEILIO
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Credential |
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Telephone | 302-265-6269
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 2014104230
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License Number State | DE
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