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General NPI Number Information
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NPI Number | 1811438724
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Entity Type | Organization
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Legal Business Name | HEART 2 HEART TRANSPORTATION LLC,
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Dates
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Enumeration Date | 03/10/2017
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Last Update Date | 04/05/2017
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Provider Practice Location Address
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Address Line | 210 RETA LN
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City | BOARDMAN
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State | OH
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Zip | 44512-1467
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Country | US
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Telephone | 330-782-2601
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Fax |
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Provider Business Mailing Address
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Address Line | 210 RETA LN
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City | BOARDMAN
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State | OH
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Zip | 44512-1467
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Country | US
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Telephone | 330-782-2601
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ADRIAN L FORDHAM
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Credential |
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Telephone | 330-941-0278
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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 | 50301717
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License Number State | OH
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