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General NPI Number Information
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NPI Number | 1841509288
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Entity Type | Organization
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Legal Business Name | AAA MEDICAL TRASPORTATION
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Dates
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Enumeration Date | 10/04/2010
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Last Update Date | 10/04/2010
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Provider Practice Location Address
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Address Line | 355 CHERRY VALLEY DR Q14
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City | INKSTER
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State | MI
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Zip | 48141-1494
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Country | US
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Telephone | 313-377-2303
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Fax | 313-730-0330
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Provider Business Mailing Address
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Address Line | PO BOX 401450
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City | REDFORD
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State | MI
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Zip | 48240-9450
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Country | US
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Telephone | 313-377-2303
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Fax | 313-730-0660
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Authorized Official
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Title or Position | OWNER
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Name | MR. ABDELRAOUF M MUSTAFA
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Credential |
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Telephone | 313-377-2303
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343800000X
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Taxonomy Name | Secured Medical Transport (VAN)
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License Number | 3438
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License Number State | MI
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