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General NPI Number Information
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NPI Number | 1255057097
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Entity Type | Organization
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Legal Business Name | SKARE TRANSPORTATION SERVICE, LLC
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Dates
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Enumeration Date | 10/13/2022
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Last Update Date | 10/13/2022
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Provider Practice Location Address
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Address Line | 580 SPRINGRIDGE ROAD SUITE B-1
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City | CLINTON
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State | MS
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Zip | 39056-5671
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Country | US
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Telephone | 601-218-7749
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Fax | 769-262-1200
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Provider Business Mailing Address
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Address Line | POST OFFICE BOX 2343
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City | CLINTON
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State | MS
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Zip | 39060-2343
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Country | US
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Telephone | 601-218-7749
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Fax | 769-218-1200
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Authorized Official
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Title or Position | OWNER
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Name | SONYA J SMITH
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Credential |
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Telephone | 601-942-1467
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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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