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General NPI Number Information
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NPI Number | 1386340966
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Entity Type | Organization
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Legal Business Name | ICOLLECT LABS & COURIER SERVICE
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Dates
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Enumeration Date | 02/06/2023
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Last Update Date | 02/06/2023
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Provider Practice Location Address
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Address Line | 325 N SAINT PAUL ST STE 3100
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City | DALLAS
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State | TX
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Zip | 75201-3923
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Country | US
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Telephone | 817-221-0521
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Fax |
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Provider Business Mailing Address
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Address Line | 104 RIDGECREST DR
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City | PALESTINE
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State | TX
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Zip | 75801-5829
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Country | US
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Telephone | 832-368-3731
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Fax |
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Authorized Official
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Title or Position | OWNER/OPPORATOR
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Name | MS. LATOYA M CARTER
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Credential |
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Telephone | 817-221-0521
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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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