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General NPI Number Information
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NPI Number | 1417610312
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Entity Type | Organization
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Legal Business Name | AFFIANCE TRANSPORTATION LLC
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Dates
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Enumeration Date | 10/18/2021
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Last Update Date | 10/18/2021
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Provider Practice Location Address
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Address Line | 105 VAIL DR
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City | MONROE
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State | LA
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Zip | 71203-7367
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Country | US
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Telephone | 504-458-3460
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Fax | 318-342-3233
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Provider Business Mailing Address
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Address Line | 105 VAIL DR
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City | MONROE
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State | LA
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Zip | 71203-7367
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Country | US
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Telephone | 504-458-3460
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Fax | 318-342-3233
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Authorized Official
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Title or Position | OWNER
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Name | VARHONDA BURRELL
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Credential | NEMT
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Telephone | 225-678-0650
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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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