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General NPI Number Information
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NPI Number | 1033486410
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Entity Type | Organization
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Legal Business Name | BLC TRANSPORTATION
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Dates
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Enumeration Date | 11/29/2011
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Last Update Date | 11/29/2011
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Provider Practice Location Address
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Address Line | 1800 CHEVELLE DR
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23235-5639
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Country | US
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Telephone | 804-433-7553
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Fax |
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Provider Business Mailing Address
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Address Line | 1800 CHEVELLE DR
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23235-5639
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Country | US
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Telephone | 804-433-7553
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. BRANDI L CLAXTON
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Credential |
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Telephone | 804-433-7553
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 344600000X
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Taxonomy Name | Taxi
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License Number | T65-91-4229
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License Number State | VA
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