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General NPI Number Information
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NPI Number | 1205283223
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Entity Type | Organization
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Legal Business Name | V & S XPRESS LLC
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Dates
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Enumeration Date | 05/19/2016
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Last Update Date | 05/19/2016
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Provider Practice Location Address
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Address Line | 719 SEDGEFIELD
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City | BRYANT
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State | AR
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Zip | 72022
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Country | US
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Telephone | 501-847-9042
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Fax |
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Provider Business Mailing Address
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Address Line | 719 SEDGEFIELD DRIVE
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City | BRYANT
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State | AR
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Zip | 72022
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Country | US
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Telephone | 501-280-9900
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Fax | 501-280-9901
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Authorized Official
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Title or Position | OWNER/ DIRECTOR OF OPERATIONS
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Name | MR. SYDNEY RAY RANCIFER
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Credential |
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Telephone | 501-779-3220
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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 | AR
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