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General NPI Number Information
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NPI Number | 1255813093
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Entity Type | Organization
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Legal Business Name | ROAD RUNNER TRANSPORTATION
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Dates
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Enumeration Date | 08/29/2018
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 104 W CHURCH ST STE B
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City | BUNKIE
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State | LA
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Zip | 71322-1717
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Country | US
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Telephone | 337-308-0974
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Fax | 318-597-5092
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Provider Business Mailing Address
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Address Line | 722 DEANNA DR
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City | MARKSVILLE
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State | LA
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Zip | 71351-2274
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Country | US
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Telephone | 337-308-0974
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Fax | 318-597-5092
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Authorized Official
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Title or Position | AGENT
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Name | MR. DON C ALLEN
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Credential |
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Telephone | 337-308-0974
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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 | LA
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