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General NPI Number Information
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NPI Number | 1154231652
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Entity Type | Organization
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Legal Business Name | MODERN VIZION ALLIANCE, LLC
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Dates
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Enumeration Date | 09/09/2026
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Last Update Date | 09/09/2026
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Provider Practice Location Address
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Address Line | 1245 DONNA LN
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City | BENNETTSVILLE
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State | SC
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Zip | 29512-2393
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Country | US
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Telephone | 854-216-2172
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Fax |
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Provider Business Mailing Address
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Address Line | 1245 DONNA LN
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City | BENNETTSVILLE
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State | SC
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Zip | 29512-2393
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Country | US
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Telephone | 854-216-2172
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. MARGARET MCDONALD
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Credential |
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Telephone | 854-216-2172
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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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