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General NPI Number Information
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NPI Number | 1487030946
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Entity Type | Organization
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Legal Business Name | SOLO S TRANSPORT
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Dates
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Enumeration Date | 08/07/2015
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Last Update Date | 08/07/2015
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Provider Practice Location Address
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Address Line | 305 WOODLAKE DR
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City | MURPHY
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State | TX
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Zip | 75094
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Country | US
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Telephone | 214-505-6323
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Fax | 972-424-0018
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Provider Business Mailing Address
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Address Line | 305 WOODLAKE DR
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City | MURPHY
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State | TX
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Zip | 75094-3431
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Country | US
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Telephone | 214-505-6323
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Fax | 972-424-0018
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Authorized Official
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Title or Position | OWNER
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Name | MR. SOLOMON WOLDAYE
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Credential |
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Telephone | 214-505-6323
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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 | 10408021
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License Number State | TX
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