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General NPI Number Information
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NPI Number | 1285378943
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Entity Type | Organization
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Legal Business Name | LUCY LU'S TRANSPORTATION SERVICES, INC.
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Dates
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Enumeration Date | 04/27/2022
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Last Update Date | 04/27/2022
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Provider Practice Location Address
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Address Line | 1666 KELLYWOOD AVE
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City | CINCINNATI
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State | OH
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Zip | 45238-4011
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Country | US
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Telephone | 513-448-2146
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Fax |
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Provider Business Mailing Address
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Address Line | 1666 KELLYWOOD AVE
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City | CINCINNATI
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State | OH
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Zip | 45238-4011
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Country | US
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Telephone | 513-448-2146
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Fax |
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Authorized Official
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Title or Position | LICENSED SOCIAL WORKER
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Name | MRS. CANDISS HOLLIE
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Credential | MSW, LSW
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Telephone | 513-448-2146
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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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