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General NPI Number Information
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NPI Number | 1477190510
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Entity Type | Organization
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Legal Business Name | EXODUS TRANSPORTATION INC
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Dates
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Enumeration Date | 12/09/2019
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Last Update Date | 12/09/2019
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Provider Practice Location Address
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Address Line | 52 REGENCY DR
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City | DRACUT
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State | MA
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Zip | 01826-2761
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Country | US
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Telephone | 978-494-9214
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Fax | 978-688-5009
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Provider Business Mailing Address
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Address Line | 52 REGENCY DR
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City | DRACUT
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State | MA
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Zip | 01826-2761
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Country | US
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Telephone | 978-494-9214
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Fax | 508-688-5009
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Authorized Official
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Title or Position | CEO
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Name | ELIZABETH KAARA
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Credential |
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Telephone | 978-398-1136
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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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