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General NPI Number Information
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NPI Number | 1255225629
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Entity Type | Organization
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Legal Business Name | STAR CHOICE MEDICAL TRANSPORT
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Dates
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Enumeration Date | 06/09/2025
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Last Update Date | 06/10/2025
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Provider Practice Location Address
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Address Line | 464 INVESTORS PL STE 206E
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City | VA BEACH
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State | VA
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Zip | 23452-1384
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Country | US
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Telephone | 757-384-3232
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Fax |
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Provider Business Mailing Address
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Address Line | 464 INVESTORS PL STE 206E
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City | VIRGINIA BEACH
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State | VA
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Zip | 23452-1384
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Country | US
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Telephone | 757-384-3232
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Fax | 757-384-3233
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Authorized Official
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Title or Position | OWNER
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Name | MRS. CICELY LATOYA JENKINS
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Credential | CERTIFIED NURSE ASST
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Telephone | 757-384-3232
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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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