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General NPI Number Information
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NPI Number | 1881143618
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Entity Type | Organization
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Legal Business Name | UNITED MEDICAL TRANSPORTATION LLC
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Dates
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Enumeration Date | 09/21/2016
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Last Update Date | 09/21/2016
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Provider Practice Location Address
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Address Line | 1390 SOUTHSIDE DR SUITE 113
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City | SALEM
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State | VA
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Zip | 24153-4748
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Country | US
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Telephone | 516-770-7751
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Fax |
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Provider Business Mailing Address
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Address Line | 1100 BISCAYNE BLVD UNIT 1504
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City | MIAMI
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State | FL
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Zip | 33132-1734
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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 | MANAGING MEMBER
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Name | EVAN KLUGE
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Credential |
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Telephone | 516-770-7751
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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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