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NPI 1922404326

NPI 1922404326 : ASSISTED MULTICARE TRANSPORTATION INC : PIKESVILLE, MD

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General NPI Number Information
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    NPI Number           |    1922404326
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    Entity Type          |    Organization 
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    Legal Business Name  |    ASSISTED MULTICARE TRANSPORTATION INC 
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Dates
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    Enumeration Date     |    11/12/2014
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    Last Update Date     |    11/12/2014
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Provider Practice Location Address
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    Address Line         |    19 WALKER AVE SUITE 302
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    City                 |    PIKESVILLE
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    State                |    MD
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    Zip                  |    21208-4075
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    Country              |    US
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    Telephone            |    240-421-5525
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    Fax                  |    410-775-5888
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Provider Business Mailing Address
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    Address Line         |    5433 CANONBURY RD 
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    City                 |    ROSEDALE
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    State                |    MD
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    Zip                  |    21237-4908
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    Country              |    US
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    Telephone            |    240-421-5525
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    Fax                  |    410-775-5888
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    MR. ARMEL C POSSI YEPMO 
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    Credential           |    
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    Telephone            |    240-421-5525
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    3416L0300X
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    Taxonomy Name        |    Land Ambulance
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    License Number       |    
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    License Number State |    MD
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Taxonomy #2
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    Taxonomy Code        |    343800000X
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    Taxonomy Name        |    Secured Medical Transport (VAN)
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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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 #4
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    Taxonomy Code        |    347B00000X
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    Taxonomy Name        |    Bus
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    License Number       |    
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    License Number State |    MD
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Taxonomy #5
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    Taxonomy Code        |    347E00000X
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    Taxonomy Name        |    Transportation Broker
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    License Number       |    
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    License Number State |    
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Taxonomy #6
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    Taxonomy Code        |    347E00000X
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    Taxonomy Name        |    Transportation Broker
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    License Number       |    
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    License Number State |    MD
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Taxonomy #7
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    Taxonomy Code        |    341600000X
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    Taxonomy Name        |    Ambulance
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    License Number       |    
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    License Number State |    MD
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