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General NPI Number Information
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NPI Number | 1467970962
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Entity Type | Organization
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Legal Business Name | WHITE MORRIS TRANSPORT, LLC
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Dates
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Enumeration Date | 09/05/2017
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Last Update Date | 06/05/2024
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Provider Practice Location Address
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Address Line | 8101 KINGSTON RD STE 101H
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City | SHREVEPORT
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State | LA
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Zip | 71108-5745
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Country | US
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Telephone | 318-272-6633
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Fax |
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Provider Business Mailing Address
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Address Line | 8101 KINGSTON RD STE 101H
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City | SHREVEPORT
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State | LA
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Zip | 71108-5745
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Country | US
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Telephone | 318-272-6633
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Fax |
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Authorized Official
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Title or Position | OPERATOR/OWNER
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Name | FELECIA SHINTA WHITE-MORRIS
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Credential |
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Telephone | 318-272-6633
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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 | 42788542K
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License Number State | LA
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