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General NPI Number Information
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NPI Number | 1043717408
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Entity Type | Organization
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Legal Business Name | TRANSITION MOBILITY
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Dates
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Enumeration Date | 04/11/2018
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Last Update Date | 04/11/2018
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Provider Practice Location Address
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Address Line | 194 STOKES RD
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City | ROCKINGHAM
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State | NC
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Zip | 28379-7366
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Country | US
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Telephone | 843-535-2880
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Fax |
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Provider Business Mailing Address
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Address Line | 1040 OLD WIRE RD W
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City | BENNETTSVILLE
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State | SC
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Zip | 29512-5624
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Country | US
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Telephone | 843-535-2880
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Fax |
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | TANESHA BRIGHT
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Credential |
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Telephone | 843-535-2880
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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