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General NPI Number Information
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NPI Number | 1386877652
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Entity Type | Organization
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Legal Business Name | NEED-A-RIDE TRANSPORTATION
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Dates
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Enumeration Date | 09/02/2009
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Last Update Date | 09/02/2009
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Provider Practice Location Address
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Address Line | 323 CLIFTON ST 19
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City | GREENVILLE
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State | NC
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Zip | 27858-5005
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Country | US
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Telephone | 252-752-4627
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Fax | 252-756-7171
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Provider Business Mailing Address
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Address Line | 323 CLIFTON ST 19
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City | GREENVILLE
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State | NC
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Zip | 27858-5005
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Country | US
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Telephone | 252-752-4627
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Fax | 252-756-7171
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. MARTHA A BLACKMON
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Credential |
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Telephone | 267-784-4627
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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 | 38049629
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License Number State | NC
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