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General NPI Number Information
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NPI Number | 1326616079
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Entity Type | Organization
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Legal Business Name | GADDIS TRANSPORTATION LLC
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Dates
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Enumeration Date | 06/17/2021
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Last Update Date | 06/17/2021
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Provider Practice Location Address
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Address Line | 3825 MOUNT CHARITY RD
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City | CARTHAGE
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State | MS
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Zip | 39051-8666
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Country | US
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Telephone | 601-750-0737
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Fax |
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Provider Business Mailing Address
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Address Line | 1308 HIGHWAY 35 N
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City | CARTHAGE
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State | MS
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Zip | 39051-3008
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Country | US
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Telephone | 601-750-0737
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SHARON GADDIS
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Credential |
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Telephone | 600-175-0073
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347E00000X
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Taxonomy Name | Transportation Broker
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License Number |
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License Number State |
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