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General NPI Number Information
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NPI Number | 1487101986
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Entity Type | Organization
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Legal Business Name | DOLL'S MEDICAL TRANSPORT, LLC
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Dates
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Enumeration Date | 09/01/2016
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Last Update Date | 09/01/2016
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Provider Practice Location Address
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Address Line | 114 CLEMENTS STREET
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City | CHATHAM
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State | VA
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Zip | 24531-4270
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Country | US
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Telephone | 434-421-2764
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Fax | 434-432-0879
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Provider Business Mailing Address
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Address Line | 2144 MARION RD
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City | CHATHAM
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State | VA
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Zip | 24531-4270
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Country | US
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Telephone | 434-441-7614
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Fax | 434-432-0879
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Authorized Official
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Title or Position | OWNER
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Name | MS. PRINCESS YOUNGER SMITH
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Credential |
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Telephone | 434-441-7614
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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 | T60207253
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License Number State | VA
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