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General NPI Number Information
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NPI Number | 1487485561
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Entity Type | Organization
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Legal Business Name | CARELINE TRANSPORT LLC
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Dates
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Enumeration Date | 08/12/2024
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Last Update Date | 02/12/2025
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Provider Practice Location Address
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Address Line | 108 WEST KING STREET
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City | KINSTON
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State | NC
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Zip | 28501-4830
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Country | US
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Telephone | 833-496-0604
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Fax | 336-642-3593
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Provider Business Mailing Address
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Address Line | 421 FAYETTEVILLE ST STE 1100
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City | RALEIGH
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State | NC
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Zip | 27601-3000
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Country | US
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Telephone | 929-428-9505
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | DR. JOHN LUIS VIECHWEG
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Credential | MD
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Telephone | 929-428-9505
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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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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Taxonomy #3
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number |
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License Number State |
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