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General NPI Number Information
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NPI Number | 1962717793
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Entity Type | Organization
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Legal Business Name | ABILITY TRANSPORTATION, INC
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Dates
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Enumeration Date | 08/17/2010
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Last Update Date | 08/17/2010
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Provider Practice Location Address
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Address Line | 1544 E WALNUT LAWN ST
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City | SPRINGFIELD
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State | MO
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Zip | 65804-6412
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Country | US
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Telephone | 417-631-8944
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Fax | 417-881-3144
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Provider Business Mailing Address
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Address Line | 1544 E WALNUT LAWN ST
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City | SPRINGFIELD
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State | MO
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Zip | 65804-6412
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Country | US
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Telephone | 417-631-8944
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Fax | 417-881-3144
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. SUZANNE STEPHANIE ERVIN
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Credential | OTR
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Telephone | 417-234-7073
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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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Legacy Identifiers
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Identifier #1
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Identifier Code | 4452
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Identifier Type | OTHER
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Identifier State | MO
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Identifier Issuer | MEDICAL TRANSPORTATION MGMT
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Identifier #2
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Identifier Code | M531
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Identifier Type | OTHER
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Identifier State | MO
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Identifier Issuer | NEMT BROKER-LOGISTICARE
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Proprietary Identifiers Ever Reported
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Identifier #1
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Identifier Code | 4452
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Identifier Type | OTHER
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Identifier State | MO
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Identifier Issuer | MEDICAL TRANSPORTATION MGMT
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Identifier #2
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Identifier Code | M531
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Identifier Type | OTHER
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Identifier State | MO
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Identifier Issuer | NEMT BROKER-LOGISTICARE
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