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General NPI Number Information
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NPI Number | 1891029906
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Entity Type | Organization
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Legal Business Name | SOUTHERN OHIO TRANSIT SERVICE, LLC
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Dates
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Enumeration Date | 09/22/2009
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Last Update Date | 09/22/2009
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Provider Practice Location Address
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Address Line | 8046 OHIO RIVER RD STE D
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City | WHEELERSBURG
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State | OH
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Zip | 45694-1689
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Country | US
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Telephone | 740-574-2800
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Fax | 740-574-2131
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Provider Business Mailing Address
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Address Line | PO BOX 116
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City | WHEELERSBURG
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State | OH
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Zip | 45694-0116
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Country | US
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Telephone | 740-574-2800
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Fax | 740-574-2131
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Authorized Official
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Title or Position | CFO
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Name | SHAD E WOOTEN
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Credential |
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Telephone | 740-574-2800
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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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Taxonomy #2
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Taxonomy Code | 344600000X
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Taxonomy Name | Taxi
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License Number | N/A
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State | OH
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