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General NPI Number Information
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NPI Number | 1275304289
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Entity Type | Organization
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Legal Business Name | DARITI TRANSPORTATION LLC.
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Dates
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Enumeration Date | 01/10/2024
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Last Update Date | 09/28/2024
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Provider Practice Location Address
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Address Line | 63 MIDDLESEX ST STE 12
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City | NORTH CHELMSFORD
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State | MA
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Zip | 01863-1584
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Country | US
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Telephone | 164-620-6134
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Fax |
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Provider Business Mailing Address
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Address Line | 63 MIDDLESEX ST STE 12
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City | NORTH CHELMSFORD
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State | MA
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Zip | 01863-1584
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Country | US
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Telephone | 164-620-6134
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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. OLUWAGBENGA CHRIS GEORGE
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Credential | MD
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Telephone | 646-206-1342
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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