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General NPI Number Information
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NPI Number | 1326820556
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Entity Type | Organization
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Legal Business Name | MED GO LLC
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Dates
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Enumeration Date | 10/23/2023
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Last Update Date | 10/23/2023
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Provider Practice Location Address
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Address Line | 2807 MADISON AVE
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City | NEWPORT NEWS
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State | VA
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Zip | 23607-4115
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Country | US
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Telephone | 757-776-3305
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Fax |
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Provider Business Mailing Address
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Address Line | 124 MARGARET DR
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City | HAMPTON
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State | VA
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Zip | 23669-1810
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Country | US
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Telephone | 757-776-3305
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | BRIAN BIGGS
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Credential |
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Telephone | 757-776-3305
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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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