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General NPI Number Information
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NPI Number | 1245659275
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Entity Type | Organization
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Legal Business Name | THUMBS-UP TRANSPORTATION
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Dates
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Enumeration Date | 04/07/2014
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Last Update Date | 04/07/2014
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Provider Practice Location Address
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Address Line | 1517 FENMORE ST.
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City | LITHIA SPRINGS
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State | GA
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Zip | 30122
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Country | US
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Telephone | 404-312-9067
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Fax |
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Provider Business Mailing Address
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Address Line | 1517 FENMORE STREET
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City | LITHIA SPRINGS
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State | GA
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Zip | 30122
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Country | US
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Telephone | 404-312-9067
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Fax | 404-400-2441
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Authorized Official
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Title or Position | TRANSPORTATION DRIVER (NON EMERGENC
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Name | MR. JESUS MANUEL DELVALLE
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Credential |
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Telephone | 404-312-9067
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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 | 14-00010797
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License Number State | GA
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