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General NPI Number Information
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NPI Number | 1093619330
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Entity Type | Organization
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Legal Business Name | TNR TRANSPORTATION
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Dates
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Enumeration Date | 10/07/2026
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Last Update Date | 10/07/2026
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Provider Practice Location Address
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Address Line | 1727 SNYDER AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19145-2943
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Country | US
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Telephone | 609-280-4148
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Fax |
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Provider Business Mailing Address
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Address Line | 908 NORTHWAY ST
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City | SYRACUSE
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State | NY
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Zip | 13224-1325
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CO OWNER
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Name | TAVON MOORE
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Credential |
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Telephone | 315-278-2935
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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 | NULL
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