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General NPI Number Information
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NPI Number | 1275960080
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Entity Type | Organization
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Legal Business Name | VAN-AIDS INC.
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Dates
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Enumeration Date | 10/11/2013
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Last Update Date | 10/11/2013
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Provider Practice Location Address
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Address Line | 6610 SOUTHPOINT DR
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City | DALLAS
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State | TX
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Zip | 75248-2222
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Country | US
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Telephone | 214-783-0438
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Fax |
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Provider Business Mailing Address
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Address Line | 6610 SOUTHPOINT DR
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City | DALLAS
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State | TX
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Zip | 75248-2222
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Country | US
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Telephone | 214-783-0438
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JUONA PATRICE MOBLEY
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Credential | RN
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Telephone | 214-783-0438
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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 | 15441182
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License Number State | TX
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