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General NPI Number Information
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NPI Number | 1083090930
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Entity Type | Organization
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Legal Business Name | ARK TRANSPORTATION
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Dates
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Enumeration Date | 08/03/2015
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Last Update Date | 08/03/2015
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Provider Practice Location Address
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Address Line | 28319 SOUTHAMPTON PKWY SUITE F
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City | COURTLAND
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State | VA
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Zip | 23837-2193
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Country | US
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Telephone | 757-742-6097
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Fax | 757-742-6098
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Provider Business Mailing Address
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Address Line | 28319 SOUTHAMPTON PKWY SUITE F
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City | COURTLAND
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State | VA
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Zip | 23837-2193
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Country | US
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Telephone | 757-742-6097
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Fax | 757-742-6098
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | MRS. PATRICIA EDMONIA HOLLAND
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Credential |
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Telephone | 757-742-6097
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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