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General NPI Number Information
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NPI Number | 1205358066
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Entity Type | Organization
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Legal Business Name | ADWA TRANSPORTATION SERVICES, LLC
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Dates
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Enumeration Date | 07/13/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 6024 STODDARD CT APT 202
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City | ALEXANDRIA
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State | VA
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Zip | 22315-5612
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Country | US
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Telephone | 703-786-0891
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Fax |
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Provider Business Mailing Address
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Address Line | 6024 STODDARD CT APT 202
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City | ALEXANDRIA
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State | VA
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Zip | 22315-5612
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Country | US
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Telephone | 703-786-0891
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Fax |
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Authorized Official
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Title or Position | OPERATIONS MANAGER/OWNER
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Name | MR. SINTAYEHU ABEBE
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Credential |
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Telephone | 703-786-0891
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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 | T62766405
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License Number State | VA
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