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General NPI Number Information
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NPI Number | 1427433085
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Entity Type | Organization
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Legal Business Name | LAYTER TRANS SERVICE
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Dates
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Enumeration Date | 07/24/2015
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Last Update Date | 07/24/2015
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Provider Practice Location Address
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Address Line | 7001 MARCLIFF CT APT 201
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City | RICHMOND
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State | VA
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Zip | 23228-3963
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Country | US
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Telephone | 804-319-0318
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Fax | 804-515-7501
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Provider Business Mailing Address
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Address Line | 7001 MARCLIFF CT APT 201
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City | RICHMOND
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State | VA
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Zip | 23228-3963
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Country | US
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Telephone | 804-319-0318
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Fax | 804-515-7501
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Authorized Official
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Title or Position | OWNER
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Name | MISS CAROLYN ANN HARRIS
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Credential |
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Telephone | 804-319-0318
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number | A64219772
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License Number State | VA
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