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General NPI Number Information
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NPI Number | 1487457701
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Entity Type | Organization
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Legal Business Name | XTRA CARE TRANSPORTATION
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Dates
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Enumeration Date | 03/31/2025
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Last Update Date | 03/31/2025
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Provider Practice Location Address
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Address Line | 1620 WINSHIRE CV
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City | ALPHARETTA
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State | GA
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Zip | 30004-0691
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Country | US
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Telephone | 470-258-8114
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Fax |
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Provider Business Mailing Address
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Address Line | 1620 WINSHIRE CV
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City | ALPHARETTA
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State | GA
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Zip | 30004-0691
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Country | US
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Telephone | 470-258-8114
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | SHARNESE JOHNSON
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Credential |
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Telephone | 470-258-8114
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347E00000X
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Taxonomy Name | Transportation Broker
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License Number |
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License Number State |
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Taxonomy #2
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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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