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General NPI Number Information
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NPI Number | 1073288742
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Entity Type | Organization
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Legal Business Name | GRACIAL TRANSPORTATION SERVICES, LLC
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Dates
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Enumeration Date | 08/13/2021
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Last Update Date | 10/24/2023
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Provider Practice Location Address
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Address Line | 12402 ASHLING DR
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City | STAFFORD
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State | TX
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Zip | 77477-1207
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Country | US
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Telephone | 713-340-8609
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Fax |
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Provider Business Mailing Address
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Address Line | 12402 ASHLING DR
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City | STAFFORD
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State | TX
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Zip | 77477-1207
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Country | US
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Telephone | 713-340-8609
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | DRICIRU NANCY NOLA
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Credential |
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Telephone | 713-340-8609
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343800000X
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Taxonomy Name | Secured Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #2
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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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