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General NPI Number Information
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NPI Number | 1245707355
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Entity Type | Organization
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Legal Business Name | RHTTRANSPORTATION
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Dates
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Enumeration Date | 10/26/2018
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Last Update Date | 10/26/2018
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Provider Practice Location Address
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Address Line | 121 COUNTY ROAD 1559
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City | LOUIN
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State | MS
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Zip | 39338-4224
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Country | US
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Telephone | 601-274-2610
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Fax |
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Provider Business Mailing Address
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Address Line | 121 COUNTY ROAD 1559
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City | LOUIN
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State | MS
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Zip | 39338-4224
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Country | US
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Telephone | 769-692-2107
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Fax |
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Authorized Official
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Title or Position | OPERATOR
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Name | MELVIN MONCRIEF
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Credential |
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Telephone | 601-274-2610
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347E00000X
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Taxonomy Name | Transportation Broker
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License Number |
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License Number State |
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