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General NPI Number Information
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NPI Number | 1336860915
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Entity Type | Organization
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Legal Business Name | LEBARTY MEDI-TRANS LLC
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Dates
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Enumeration Date | 09/12/2022
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Last Update Date | 05/31/2024
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Provider Practice Location Address
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Address Line | 1662 CENTRAL AVE
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City | COLONIE
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State | NY
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Zip | 12205-4059
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Country | US
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Telephone | 518-951-0740
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Fax | 607-800-4134
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Provider Business Mailing Address
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Address Line | 1662 CENTRAL AVE
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City | COLONIE
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State | NY
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Zip | 12205-4059
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Country | US
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Telephone | 518-951-0740
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Fax | 607-800-4134
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Authorized Official
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Title or Position | CEO
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Name | DR. NOSA DENNIS AIGBE LEBARTY
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Credential | MD
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Telephone | 518-951-0740
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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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