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General NPI Number Information
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NPI Number | 1043810963
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Entity Type | Organization
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Legal Business Name | MEDIX TRANSPORTATION LLC
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Dates
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Enumeration Date | 10/29/2020
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Last Update Date | 10/29/2020
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Provider Practice Location Address
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Address Line | 479 SUNSET POINTE DR
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City | LYMAN
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State | SC
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Zip | 29365-9332
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Country | US
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Telephone | 864-365-7551
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Fax | 864-800-3046
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Provider Business Mailing Address
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Address Line | 479 SUNSET POINTE DR
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City | LYMAN
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State | SC
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Zip | 29365-9332
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Country | US
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Telephone | 864-365-7551
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Fax | 864-800-3046
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Authorized Official
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Title or Position | OPERATIONS MANAGER / OWNER
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Name | MRS. JACQUELINE HUDSON
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Credential |
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Telephone | 864-365-7551
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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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