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General NPI Number Information
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NPI Number | 1144908997
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Entity Type | Organization
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Legal Business Name | 2 BROTHERS LLC
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Dates
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Enumeration Date | 07/10/2023
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Last Update Date | 07/10/2023
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Provider Practice Location Address
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Address Line | 44010 SWEET WILLIAM DR
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City | HAMMOND
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State | LA
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Zip | 70403-4736
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Country | US
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Telephone | 470-495-2027
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Fax |
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Provider Business Mailing Address
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Address Line | 425 W AIRLINE HWY STE L
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City | LA PLACE
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State | LA
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Zip | 70068-3818
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Country | US
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Telephone | 470-495-2027
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Fax |
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Authorized Official
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Title or Position | OWNER/DRIVER
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Name | MR. TAJ R BANKS SR.
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Credential | CLASS A CDL/TWIC
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Telephone | 470-495-2027
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 342000000X
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Taxonomy Name | Transportation Network Company
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License Number |
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License Number State |
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