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General NPI Number Information
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NPI Number | 1063744415
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Entity Type | Organization
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Legal Business Name | L&L TRANSPORTATION SERVICES
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Dates
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Enumeration Date | 02/10/2010
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Last Update Date | 02/10/2010
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Provider Practice Location Address
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Address Line | 107 TRENT TRL 107 TRENT TRL
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City | SHREVEPORT
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State | LA
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Zip | 71106-1843
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Country | US
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Telephone | 318-751-2085
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Fax |
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Provider Business Mailing Address
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Address Line | 107 TRENT TRL 107 TRENT TRL
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City | SHREVEPORT
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State | LA
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Zip | 71106-1843
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Country | US
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Telephone | 318-751-2085
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. LATONYA JOHNSON WATSON
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Credential |
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Telephone | 318-751-2085
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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 | 006594297
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License Number State | LA
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