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General NPI Number Information
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NPI Number | 1942771258
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Entity Type | Organization
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Legal Business Name | MOBILITY 1 TRANSPORT LLC
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Dates
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Enumeration Date | 12/12/2018
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Last Update Date | 12/12/2018
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Provider Practice Location Address
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Address Line | 123 N MAIN ST # 3
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City | BELLEVUE
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State | MI
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Zip | 49021-1231
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Country | US
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Telephone | 269-430-5055
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Fax | 269-430-5042
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Provider Business Mailing Address
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Address Line | 123 N MAIN ST # 3
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City | BELLEVUE
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State | MI
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Zip | 49021-1231
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Country | US
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Telephone | 269-430-5055
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Fax | 269-430-5042
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Authorized Official
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Title or Position | GENERAL MANAGER
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Name | MS. PAMELA A STEELE
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Credential | PH, VET, D-VET,
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Telephone | 269-763-2014
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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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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