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General NPI Number Information
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NPI Number | 1508344763
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Entity Type | Organization
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Legal Business Name | VOYAGE OF HOPE, LLC
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Dates
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Enumeration Date | 07/31/2018
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Last Update Date | 07/31/2018
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Provider Practice Location Address
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Address Line | 341 E FRANKLIN ST
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City | MILLEDGEVILLE
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State | GA
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Zip | 31061-3534
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Country | US
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Telephone | 478-457-0068
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Fax | 478-457-0063
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Provider Business Mailing Address
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Address Line | 341 E FRANKLIN ST
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City | MILLEDGEVILLE
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State | GA
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Zip | 31061-3534
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Country | US
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Telephone | 478-457-0068
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Fax | 478-457-0063
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Authorized Official
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Title or Position | CHIEF MANAGING OFFICER
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Name | LISA TAYLOR SHINHOLSTER
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Credential |
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Telephone | 478-234-0301
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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 |
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License Number State | GA
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