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General NPI Number Information
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NPI Number | 1144743964
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Entity Type | Organization
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Legal Business Name | E & D TRANSPORTATION, INC
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Dates
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Enumeration Date | 07/24/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 12047 PAPER BIRCH LN
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City | GAINESVILLE
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State | VA
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Zip | 20155-5201
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Country | US
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Telephone | 571-248-8544
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Fax | 877-813-2618
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Provider Business Mailing Address
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Address Line | 12047 PAPER BIRCH LN
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City | GAINESVILLE
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State | VA
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Zip | 20155-5201
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Country | US
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Telephone | 571-248-8544
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Fax | 877-813-2618
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MRS. EVELYNE NJWENE SAMA
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Credential |
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Telephone | 571-248-8544
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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 | 30
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License Number State | VA
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