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General NPI Number Information
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NPI Number | 1285018663
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Entity Type | Organization
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Legal Business Name | TYLER AND KELLAM TRANSPORTATION, LLC
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Dates
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Enumeration Date | 07/15/2015
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Last Update Date | 07/15/2015
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Provider Practice Location Address
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Address Line | 36296 LANKFORD HWY SUITE 10
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City | BELLE HAVEN
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State | VA
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Zip | 23306
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Country | US
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Telephone | 757-607-7736
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 377
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City | BELLE HAVEN
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State | VA
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Zip | 23306-0377
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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 | CHIEF OPERATIONS OFFICER
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Name | JOYCE KELLAM TYLER
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Credential |
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Telephone | 757-607-7736
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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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