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General NPI Number Information
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NPI Number | 1326864851
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Entity Type | Organization
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Legal Business Name | 205 PRIORITY TRANSPORT
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Dates
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Enumeration Date | 11/30/2024
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Last Update Date | 11/30/2024
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Provider Practice Location Address
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Address Line | 324 COMMONS DR
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City | BIRMINGHAM
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State | AL
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Zip | 35209-6962
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Country | US
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Telephone | 205-291-8774
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Fax |
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Provider Business Mailing Address
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Address Line | 324 COMMONS DR
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City | BIRMINGHAM
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State | AL
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Zip | 35209-6962
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Country | US
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Telephone | 205-291-8774
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. KAYLA MCRAE
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Credential |
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Telephone | 205-609-6183
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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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