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General NPI Number Information
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NPI Number | 1366981318
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Entity Type | Organization
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Legal Business Name | BEYOND CARE TRANSPORT, LLC
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Dates
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Enumeration Date | 02/22/2017
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Last Update Date | 02/22/2017
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Provider Practice Location Address
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Address Line | 3100 RIDGELAKE DR 205
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City | METAIRIE
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State | LA
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Zip | 70002-4964
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Country | US
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Telephone | 504-309-2235
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Fax |
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Provider Business Mailing Address
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Address Line | 3100 RIDGELAKE DR 205
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City | METAIRIE
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State | LA
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Zip | 70002-4964
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Country | US
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Telephone | 504-309-2235
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | GEZELLE A WILLIAMS
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Credential | B.S.
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Telephone | 504-309-2235
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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 | 006165304
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License Number State | LA
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