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General NPI Number Information
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NPI Number | 1386280543
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Entity Type | Organization
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Legal Business Name | ON DEMAND TRANSPORTATION, LLC
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Dates
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Enumeration Date | 11/22/2019
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Last Update Date | 11/22/2019
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Provider Practice Location Address
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Address Line | 495 GRAND BLVD UNIT 206
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City | MIRAMAR BEACH
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State | FL
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Zip | 32550-1897
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Country | US
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Telephone | 901-512-8061
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Fax |
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Provider Business Mailing Address
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Address Line | 2884 POPLAR WOODS DR # 2
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City | SOUTHAVEN
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State | MS
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Zip | 38672-7006
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Country | US
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Telephone | 901-512-8061
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. CHRIS TOPHER O'NEAL WHITFIELD
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Credential | PARAMEDIC
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Telephone | 901-512-8061
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343800000X
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Taxonomy Name | Secured Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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Taxonomy #3
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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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