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General NPI Number Information
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NPI Number | 1043827983
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Entity Type | Organization
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Legal Business Name | STAR TRIP TRANSPORTATION LLC
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Dates
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Enumeration Date | 09/24/2020
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Last Update Date | 09/24/2020
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Provider Practice Location Address
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Address Line | 370 NEFF AVE STE P
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City | HARRISONBURG
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State | VA
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Zip | 22801-3246
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Country | US
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Telephone | 540-435-7647
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Fax |
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Provider Business Mailing Address
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Address Line | 370 NEFF AVE UNIT O
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City | HARRISONBURG
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State | VA
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Zip | 22801-3438
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Country | US
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Telephone | 540-435-7647
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MS. DENEENE RICE
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Credential |
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Telephone | 540-435-7647
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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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