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General NPI Number Information
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NPI Number | 1053219048
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Entity Type | Organization
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Legal Business Name | TINY GRIN TRANSIT LLC
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Dates
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Enumeration Date | 10/29/2026
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Last Update Date | 10/29/2026
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Provider Practice Location Address
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Address Line | 12656 STATE ROUTE 49
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City | ROSSBURG
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State | OH
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Zip | 45362-9758
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Country | US
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Telephone | 937-759-7783
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Fax |
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Provider Business Mailing Address
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Address Line | 12656 STATE ROUTE 49
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City | ROSSBURG
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State | OH
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Zip | 45362-9758
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Country | US
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Telephone | 937-759-7783
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | KIMBERLY PENNINGTON
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Credential |
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Telephone | 937-759-7783
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number |
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License Number State |
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