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General NPI Number Information
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NPI Number | 1457941114
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Entity Type | Organization
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Legal Business Name | IKOR TRANSPORT, LLC
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Dates
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Enumeration Date | 01/26/2021
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Last Update Date | 01/26/2021
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Provider Practice Location Address
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Address Line | 690 BERKMAR CIR STE 311
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22901-1464
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Country | US
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Telephone | 434-202-8887
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Fax | 888-987-7813
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Provider Business Mailing Address
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Address Line | 690 BERKMAR CIR STE 311
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22901-1464
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Country | US
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Telephone | 434-202-8887
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Fax |
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Authorized Official
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Title or Position | ADMIN/PNC
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Name | MR. JACOB M PLAUGHER
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Credential |
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Telephone | 434-806-9729
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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 |
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License Number State |
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