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General NPI Number Information
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NPI Number | 1457041840
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Entity Type | Organization
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Legal Business Name | SPARROWS UNITED TRANSPORTATION
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Dates
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Enumeration Date | 05/10/2023
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Last Update Date | 05/10/2023
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Provider Practice Location Address
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Address Line | 383 ROBIN ST
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City | COLUMBUS
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State | MS
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Zip | 39702-9447
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Country | US
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Telephone | 662-435-3782
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Fax |
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Provider Business Mailing Address
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Address Line | 383 ROBIN ST
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City | COLUMBUS
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State | MS
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Zip | 39702-9447
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Country | US
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Telephone | 662-497-3657
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TIFFANY TAYLOR
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Credential |
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Telephone | 662-435-3782
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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 |
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License Number State |
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