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General NPI Number Information
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NPI Number | 1386936771
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Entity Type | Organization
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Legal Business Name | GENESIS 7 TRANSPORT
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Dates
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Enumeration Date | 05/04/2011
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Last Update Date | 08/30/2022
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Provider Practice Location Address
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Address Line | 2675 SUGARLOAF PKWY
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City | LAWRENCEVILLE
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State | GA
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Zip | 30045-9342
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Country | US
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Telephone | 678-294-2601
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 841
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City | SNELLVILLE
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State | GA
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Zip | 30078-0841
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Country | US
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Telephone | 678-294-2601
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DANIEL BRATESCU
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Credential |
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Telephone | 678-948-5612
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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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Taxonomy #2
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number |
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License Number State |
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