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General NPI Number Information
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NPI Number | 1265111074
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Entity Type | Organization
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Legal Business Name | E.L.L D TRANSPORT LC
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Dates
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Enumeration Date | 07/18/2023
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Last Update Date | 10/16/2023
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Provider Practice Location Address
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Address Line | 9535 FOREST LN STE 119
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City | DALLAS
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State | TX
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Zip | 75243-6120
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Country | US
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Telephone | 469-518-3009
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Fax |
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Provider Business Mailing Address
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Address Line | 9535 FOREST LN STE 119
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City | DALLAS
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State | TX
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Zip | 75243-6120
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Country | US
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Telephone | 469-518-3009
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. LEVERN DANIELS JR.
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Credential |
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Telephone | 469-518-3009
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1103X
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Taxonomy Name | Military Ambulatory Procedure Visits Operational (Transportable) Clinic/Center
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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 | 261QA0005X
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Taxonomy Name | Ambulatory Family Planning Facility
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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 | 261QA0006X
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Taxonomy Name | Ambulatory Fertility Facility
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QM1102X
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Taxonomy Name | Military Outpatient Operational (Transportable) Component Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 342000000X
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Taxonomy Name | Transportation Network Company
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 343800000X
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Taxonomy Name | Secured Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #8
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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 #9
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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 #10
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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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Taxonomy #11
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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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