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General NPI Number Information
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NPI Number | 1437640562
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Entity Type | Individual
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Provider Name | RHONDALYN MORGAN
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Gender | Female
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Dates
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Enumeration Date | 05/24/2018
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Last Update Date | 05/24/2018
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Provider Practice Location Address
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Address Line | ETRANSPORT, LLC 241 CHESTNUT ROYAL ROAD
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City | APPOMATTOX
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State | VA
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Zip | 24522
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Country | US
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Telephone | 434-238-4367
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Fax | 434-352-9269
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Provider Business Mailing Address
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Address Line | ETRANSPORT, LLC 241 CHESTNUT ROYAL ROAD
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City | APPOMATTOX
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State | VA
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Zip | 24522
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Country | US
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Telephone | 434-238-4367
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Fax | 434-352-9269
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 172A00000X
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Taxonomy Name | Driver
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License Number | MC18000087PS
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License Number State | VA
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