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General NPI Number Information
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NPI Number | 1336902956
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Entity Type | Organization
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Legal Business Name | NALANIS TRANSPORTATION LLC
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Dates
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Enumeration Date | 02/05/2024
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Last Update Date | 02/05/2024
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Provider Practice Location Address
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Address Line | 9980 HOUND CHASE DR
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City | GIBSONTON
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State | FL
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Zip | 33534-5422
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Country | US
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Telephone | 813-399-4833
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Fax |
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Provider Business Mailing Address
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Address Line | 9980 HOUND CHASE DR
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City | GIBSONTON
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State | FL
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Zip | 33534-5422
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Country | US
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Telephone | 813-399-4833
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Fax |
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Authorized Official
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Title or Position | MANAGER/OWNER
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Name | TYKEILA IESHIA TISDALE
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Credential | BSHA, MHA
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Telephone | 813-399-4833
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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