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General NPI Number Information
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NPI Number | 1922465806
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Entity Type | Organization
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Legal Business Name | ADAM TRANSPORTATION
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Dates
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Enumeration Date | 01/22/2016
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Last Update Date | 01/22/2016
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Provider Practice Location Address
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Address Line | 350 S NORTHWEST HWY
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City | PARK RIDGE
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State | IL
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Zip | 60068-4216
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Country | US
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Telephone | 714-717-7714
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Fax |
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Provider Business Mailing Address
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Address Line | 350 S NORTHWEST HWY 300
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City | PARK RIDGE
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State | IL
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Zip | 60068-4216
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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 | OWNER
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Name | MOHAMMED ATEELI
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Credential |
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Telephone | 973-444-5072
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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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