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General NPI Number Information
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NPI Number | 1174340038
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Entity Type | Organization
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Legal Business Name | D & A MEDICAL TRANSPORT LLC
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Dates
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Enumeration Date | 09/23/2024
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Last Update Date | 09/23/2024
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Provider Practice Location Address
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Address Line | 969 FALL CREEK RD
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City | RINGGOLD
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State | VA
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Zip | 24586-3217
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Country | US
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Telephone | 434-429-8516
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Fax |
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Provider Business Mailing Address
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Address Line | 969 FALL CREEK RD
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City | RINGGOLD
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State | VA
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Zip | 24586-3217
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Country | US
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Telephone | 434-429-8516
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. DARVIN ANTHONY GREGORY
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Credential |
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Telephone | 434-429-8516
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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