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General NPI Number Information
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NPI Number | 1154101533
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Entity Type | Organization
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Legal Business Name | DAHLONEGO, INC
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Dates
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Enumeration Date | 10/03/2023
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Last Update Date | 10/04/2023
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Provider Practice Location Address
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Address Line | 768 CROWN MOUNTAIN DR STE 100200
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City | DAHLONEGA
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State | GA
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Zip | 30533-1635
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Country | US
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Telephone | 706-482-4011
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Fax |
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Provider Business Mailing Address
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Address Line | 768 CROWN MOUNTAIN DR STE 100200
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City | DAHLONEGA
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State | GA
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Zip | 30533-1635
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Country | US
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Telephone | 706-482-4011
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Fax |
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Authorized Official
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Title or Position | OWNER OF MEDGO
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Name | RHONDA DAHNESE BENNETT
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Credential | CEO
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Telephone | 706-892-8072
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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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