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General NPI Number Information
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NPI Number | 1497016687
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Entity Type | Organization
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Legal Business Name | MOBILE ONE NON-EMERGENCY TRANSPORT SERVICE, LLC
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Dates
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Enumeration Date | 06/04/2012
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Last Update Date | 06/26/2015
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Provider Practice Location Address
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Address Line | 6 BLACKWELL BLVD
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City | HATTIESBURG
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State | MS
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Zip | 39402
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Country | US
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Telephone | 601-545-3322
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Fax | 800-757-0381
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Provider Business Mailing Address
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Address Line | 6 BLACKWELL BLVD
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City | HATTIESBURG
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State | MS
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Zip | 39402
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Country | US
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Telephone | 601-545-3322
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Fax | 800-757-0381
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Authorized Official
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Title or Position | OWNER
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Name | MR. BARRY J. FOIL
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Credential |
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Telephone | 601-545-3322
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 172A00000X
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Taxonomy Name | Driver
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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 | 347B00000X
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Taxonomy Name | Bus
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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 | 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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