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General NPI Number Information
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NPI Number | 1235911249
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Entity Type | Individual
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Provider Name | MAKAYLA L MCLAURIN TRANSPORTATION
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Gender | Female
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Dates
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Enumeration Date | 10/16/2023
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Last Update Date | 10/16/2023
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Provider Practice Location Address
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Address Line | 188 NORTH AVE
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City | JONESBORO
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State | GA
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Zip | 30236-3215
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Country | US
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Telephone | 470-654-9958
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Fax | 770-522-6179
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Provider Business Mailing Address
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Address Line | 111 ASHAND GROVE
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City | STOCKBRIDGE
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State | GA
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Zip | 30281-3215
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Country | US
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Telephone | 678-697-9070
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Fax | 770-522-6179
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171WV0202X
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Taxonomy Name | Vehicle Modifications Contractor
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License Number | 20033633
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License Number State | GA
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