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General NPI Number Information
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NPI Number | 1962260570
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Entity Type | Organization
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Legal Business Name | NORTHERN DRIVER, LLC
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Dates
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Enumeration Date | 03/08/2024
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Last Update Date | 03/08/2024
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Provider Practice Location Address
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Address Line | 5016 N MARY MARTIN DR
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City | APPLETON
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State | WI
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Zip | 54913-8061
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Country | US
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Telephone | 920-585-9295
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Fax |
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Provider Business Mailing Address
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Address Line | 5016 N MARY MARTIN DR
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City | APPLETON
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State | WI
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Zip | 54913-8061
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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 | MEMBER
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Name | SHOUA HER VANG
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Credential |
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Telephone | 920-809-6689
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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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