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General NPI Number Information
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NPI Number | 1053924886
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Entity Type | Organization
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Legal Business Name | B1 NURSING TRANSPORT
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Dates
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Enumeration Date | 08/31/2020
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Last Update Date | 08/31/2020
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Provider Practice Location Address
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Address Line | 232 SAINT PAUL ST
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City | PEARL
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State | MS
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Zip | 39208-5134
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Country | US
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Telephone | 769-572-7207
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Fax | 601-510-4844
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Provider Business Mailing Address
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Address Line | 208 BOXWOOD CIR
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City | BRANDON
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State | MS
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Zip | 39047-8006
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Country | US
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Telephone | 601-307-0857
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MAKEBA C WHITE
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Credential |
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Telephone | 769-572-7207
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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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