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General NPI Number Information
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NPI Number | 1245780899
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Entity Type | Organization
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Legal Business Name | WHITE GLOVE TRANSPORTATION, INC
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Dates
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Enumeration Date | 10/06/2016
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Last Update Date | 11/02/2016
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Provider Practice Location Address
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Address Line | 4845 INDUSTRY LN SUITE A
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City | DURHAM
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State | NC
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Zip | 27713-1974
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Country | US
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Telephone | 919-424-4516
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 12821
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City | RTP
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State | NC
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Zip | 27709-2821
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Country | US
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Telephone | 919-424-4516
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | RAYMOND MACKEY
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Credential |
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Telephone | 919-424-4516
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347B00000X
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Taxonomy Name | Bus
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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 | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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Taxonomy #3
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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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