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General NPI Number Information
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NPI Number | 1023835261
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Entity Type | Organization
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Legal Business Name | HEART 2 HEART RELIABLE TRANSPORTATION
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Dates
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Enumeration Date | 09/19/2024
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Last Update Date | 09/19/2024
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Provider Practice Location Address
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Address Line | 3112 KING DR
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City | TIFTON
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State | GA
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Zip | 31794-5921
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Country | US
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Telephone | 229-402-6602
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Fax |
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Provider Business Mailing Address
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Address Line | 3112 KING DR
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City | TIFTON
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State | GA
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Zip | 31794-5921
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Country | US
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Telephone | 229-402-6602
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. TANISHA HALL
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Credential |
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Telephone | 229-402-6602
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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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