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General NPI Number Information
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NPI Number | 1417765660
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Entity Type | Organization
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Legal Business Name | ACH LOGSTCS NC
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Dates
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Enumeration Date | 12/19/2024
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Last Update Date | 12/19/2024
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Provider Practice Location Address
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Address Line | 7510 HOLLY HILL DR APT 132
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City | DALLAS
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State | TX
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Zip | 75231-4524
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Country | US
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Telephone | 214-490-7866
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Fax | 214-677-5517
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Provider Business Mailing Address
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Address Line | 7510 HOLLY HILL DR APT 132
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City | DALLAS
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State | TX
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Zip | 75231-4524
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Country | US
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Telephone | 214-490-7866
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Fax | 214-677-5517
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Authorized Official
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Title or Position | PRESDENT
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Name | MR. ABDULAH SHONE HEBO
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Credential |
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Telephone | 214-490-7866
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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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