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General NPI Number Information
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NPI Number | 1144095092
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Entity Type | Organization
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Legal Business Name | UNIFIED HUMAN SERVICES TRANSPORTATION SYSTEMS, INC.
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Dates
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Enumeration Date | 11/21/2023
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Last Update Date | 11/21/2023
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Provider Practice Location Address
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Address Line | 2762 SHENANDOAH AVE NW
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City | ROANOKE
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State | VA
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Zip | 24017-5250
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Country | US
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Telephone | 154-034-3172
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 13825
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City | ROANOKE
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State | VA
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Zip | 24037-3825
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Country | US
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Telephone | 540-343-1721
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | NATHAN SANFORD
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Credential |
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Telephone | 540-343-1721
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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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