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General NPI Number Information
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NPI Number | 1861784761
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Entity Type | Organization
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Legal Business Name | ACCESS ONE TRANSPORTATION,CORP
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Dates
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Enumeration Date | 05/10/2011
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Last Update Date | 12/02/2014
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Provider Practice Location Address
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Address Line | 1441 BALMORAL AVE APT 1N
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City | WESTCHESTER
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State | IL
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Zip | 60154-3661
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Country | US
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Telephone | 708-466-7224
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Fax | 708-378-5400
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Provider Business Mailing Address
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Address Line | 1441 BALMORAL AVE
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City | WESTCHESTER
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State | IL
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Zip | 60154-3679
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Country | US
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Telephone | 708-466-7224
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Fax | 708-378-5400
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. TERRY L CORNELL
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Credential |
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Telephone | 708-466-7224
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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 |
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License Number State |
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