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General NPI Number Information
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NPI Number | 1457943128
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Entity Type | Organization
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Legal Business Name | 5 ON 4 WHEELS TRANPORTATION LLC
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Dates
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Enumeration Date | 02/04/2021
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Last Update Date | 10/27/2021
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Provider Practice Location Address
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Address Line | 1508 HOOKS ST
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City | GREENSBORO
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State | NC
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Zip | 27401-3812
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Country | US
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Telephone | 336-912-0486
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5091
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City | GREENSBORO
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State | NC
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Zip | 27435-0091
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Country | US
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Telephone | 336-912-0486
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | QUIANA ALLEN
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Credential |
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Telephone | 336-912-0486
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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