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General NPI Number Information
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NPI Number | 1225779010
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Entity Type | Organization
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Legal Business Name | ANGEL ARMS TRANSPORT LLC
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Dates
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Enumeration Date | 04/05/2022
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Last Update Date | 07/20/2023
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Provider Practice Location Address
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Address Line | 4663 HAYGOOD RD STE 206
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City | VIRGINIA BEACH
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State | VA
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Zip | 23455-5442
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Country | US
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Telephone | 757-656-7977
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Fax | 757-656-7999
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Provider Business Mailing Address
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Address Line | 4663 HAYGOOD RD STE 206
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City | VIRGINIA BEACH
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State | VA
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Zip | 23455-5442
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Country | US
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Telephone | 757-735-5413
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Fax | 757-656-7999
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Authorized Official
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Title or Position | CEO
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Name | MR. JADON WILLIAMS
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Credential |
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Telephone | 757-735-5413
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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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