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General NPI Number Information
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NPI Number | 1497122154
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Entity Type | Organization
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Legal Business Name | A TO B TRANSIT, LLC
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Dates
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Enumeration Date | 08/28/2015
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 9439 EVERGREEN DRIVE
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City | SHREVEPORT
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State | LA
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Zip | 71118
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Country | US
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Telephone | 318-617-0725
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Fax | 318-686-1888
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Provider Business Mailing Address
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Address Line | 9439 EVERGREEN DRIVE
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City | SHREVEPORT
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State | LA
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Zip | 71118
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Country | US
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Telephone | 318-617-0725
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Fax | 318-686-1888
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Authorized Official
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Title or Position | OWNER
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Name | ATHENA COTINA GIPSON
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Credential |
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Telephone | 318-617-0725
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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 | 005596761
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License Number State | LA
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