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General NPI Number Information
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NPI Number | 1154146579
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Entity Type | Organization
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Legal Business Name | A&D TRANSPORT SERVICES LLC
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Dates
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Enumeration Date | 11/20/2024
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Last Update Date | 11/20/2024
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Provider Practice Location Address
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Address Line | 816 S 74TH ST STE 350
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City | BELLEVILLE
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State | IL
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Zip | 62223-2845
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Country | US
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Telephone | 618-570-5589
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Fax |
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Provider Business Mailing Address
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Address Line | 816 S 74TH ST STE 350
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City | BELLEVILLE
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State | IL
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Zip | 62223-2845
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Country | US
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Telephone | 618-570-5589
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ABRAHAM DAVIS
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Credential |
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Telephone | 618-570-5589
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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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