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General NPI Number Information
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NPI Number | 1902057557
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Entity Type | Organization
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Legal Business Name | ADVANCED QUALITY TRANSPORTATION SERVICE, INC.
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Dates
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Enumeration Date | 10/01/2008
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Last Update Date | 10/01/2008
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Provider Practice Location Address
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Address Line | 4008 WHOLESALE CT
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City | N FORT MYERS
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State | FL
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Zip | 33903-4277
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Country | US
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Telephone | 239-656-0911
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Fax | 239-656-0190
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Provider Business Mailing Address
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Address Line | PO BOX 4211
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City | N FORT MYERS
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State | FL
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Zip | 33918-4211
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Country | US
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Telephone | 239-656-0911
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Fax | 239-656-0190
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Authorized Official
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Title or Position | CEO
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Name | MR. MICHAEL LITTEN
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Credential |
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Telephone | 239-656-0911
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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 | 9502238
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License Number State | FL
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