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General NPI Number Information
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NPI Number | 1386579928
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Entity Type | Organization
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Legal Business Name | WELLGO MEDICAL TRANSPORTATION LLC
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Dates
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Enumeration Date | 06/16/2026
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Last Update Date | 06/16/2026
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Provider Practice Location Address
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Address Line | 1125 OLD SAYBROOK CT
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City | STONE MOUNTAIN
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State | GA
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Zip | 30083-2633
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Country | US
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Telephone | 610-739-9430
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Fax | 610-739-9430
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Provider Business Mailing Address
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Address Line | 2437 IVEY CREST CIR
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City | TUCKER
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State | GA
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Zip | 30084-3756
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Country | US
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Telephone | 610-739-9430
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Fax |
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Authorized Official
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Title or Position | OPERATIONAL MANAGER
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Name | GIRUM WOLDEMARIAM
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Credential |
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Telephone | 610-739-9430
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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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