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General NPI Number Information
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NPI Number | 1295321404
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Entity Type | Organization
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Legal Business Name | RUNNER V.I.P. LLC
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Dates
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Enumeration Date | 12/13/2020
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Last Update Date | 12/13/2020
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Provider Practice Location Address
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Address Line | 1205 E CHELTEN AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19138-1928
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Country | US
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Telephone | 267-236-9357
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5366
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City | PHILADELPHIA
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State | PA
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Zip | 19142-0366
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Country | US
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Telephone | 215-821-7194
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO
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Name | NINA R PALMER
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Credential |
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Telephone | 267-821-7194
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343800000X
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Taxonomy Name | Secured Medical Transport (VAN)
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License Number |
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License Number State |
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