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General NPI Number Information
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NPI Number | 1447894936
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Entity Type | Organization
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Legal Business Name | G & M TRANSPORTATION
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Dates
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Enumeration Date | 10/29/2019
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Last Update Date | 10/29/2019
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Provider Practice Location Address
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Address Line | 711 POPLAR ST
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City | CLARKSDALE
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State | MS
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Zip | 38614-4957
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Country | US
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Telephone | 662-641-0441
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Fax |
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Provider Business Mailing Address
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Address Line | 3094 LOGANBERRY CV
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City | SOUTHAVEN
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State | MS
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Zip | 38672-6043
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Country | US
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Telephone | 662-641-0441
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ERIC MESSENGER
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Credential |
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Telephone | 662-641-0441
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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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