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General NPI Number Information
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NPI Number | 1356823728
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Entity Type | Organization
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Legal Business Name | TES TRANSPORTATION
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Dates
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Enumeration Date | 09/03/2018
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Last Update Date | 09/03/2018
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Provider Practice Location Address
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Address Line | 839 PECAN ST
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City | CLARKSDALE
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State | MS
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Zip | 38614-3033
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Country | US
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Telephone | 423-580-4448
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 19225
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City | CHATTANOOGA
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State | TN
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Zip | 37416-9225
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Country | US
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Telephone | 423-580-4448
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CASSANDRA BARROW
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Credential |
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Telephone | 423-580-4448
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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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