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General NPI Number Information
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NPI Number | 1225949258
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Entity Type | Organization
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Legal Business Name | VICTORY TRANSPORTATION LLC
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Dates
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Enumeration Date | 09/16/2026
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Last Update Date | 09/16/2026
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Provider Practice Location Address
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Address Line | 1199 E SANTA FE ST LOT 284
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City | GARDNER
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State | KS
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Zip | 66030-1664
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Country | US
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Telephone | 785-979-8363
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Fax |
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Provider Business Mailing Address
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Address Line | 4601 E DOUGLAS AVE STE 150
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City | WICHITA
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State | KS
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Zip | 67218-1011
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Country | US
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Telephone | 785-979-8363
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Fax |
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | MR. VERNON EARL RIDDLE
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Credential |
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Telephone | 785-979-8363
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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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Taxonomy #2
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Taxonomy Code | 344600000X
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Taxonomy Name | Taxi
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License Number |
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License Number State |
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