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General NPI Number Information
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NPI Number | 1275445223
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Entity Type | Organization
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Legal Business Name | LANDLOCK ENTERPRISES
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Dates
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Enumeration Date | 09/22/2026
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Last Update Date | 09/22/2026
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Provider Practice Location Address
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Address Line | 201 MORRIS LN
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City | WOODSTOCK
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State | GA
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Zip | 30188-3659
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Country | US
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Telephone | 803-917-1818
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Fax |
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Provider Business Mailing Address
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Address Line | 201 MORRIS LN
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City | WOODSTOCK
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State | GA
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Zip | 30188-3659
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | DAVID LANDSMAN
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Credential |
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Telephone | 803-917-1818
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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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