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General NPI Number Information
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NPI Number | 1003335167
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Entity Type | Organization
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Legal Business Name | RVA TRANSPORT, INC.
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Dates
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Enumeration Date | 09/10/2017
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Last Update Date | 08/29/2024
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Provider Practice Location Address
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Address Line | 1431 OPUS PL STE 110
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City | DOWNERS GROVE
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State | IL
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Zip | 60515-1164
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Country | US
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Telephone | 804-922-6191
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Fax |
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Provider Business Mailing Address
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Address Line | 1431 OPUS PL STE 110
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City | DOWNERS GROVE
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State | IL
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Zip | 60515-1164
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Country | US
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Telephone | 804-728-5011
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | NEDA MAROOF
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Credential |
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Telephone | 804-728-5011
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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 | 002-00630856
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License Number State | VA
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