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General NPI Number Information
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NPI Number | 1962793919
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Entity Type | Organization
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Legal Business Name | PERSONAL TOUCH MEDICAL TRANSPORTATION, LLC
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Dates
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Enumeration Date | 04/26/2011
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Last Update Date | 04/26/2011
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Provider Practice Location Address
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Address Line | 6319 YEARLING RUN
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City | INDIANAPOLIS
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State | IN
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Zip | 46278-2701
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Country | US
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Telephone | 317-319-0993
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Fax | 317-328-8993
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Provider Business Mailing Address
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Address Line | 6319 YEARLING RUN
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City | INDIANAPOLIS
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State | IN
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Zip | 46278-2701
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Country | US
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Telephone | 317-319-0993
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Fax | 317-328-8993
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Authorized Official
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Title or Position | OWNER
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Name | MRS. JEANNA ANN CONNER-BATES
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Credential |
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Telephone | 317-319-0993
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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 | 1318045
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License Number State | IN
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