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General NPI Number Information
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NPI Number | 1518524750
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Entity Type | Organization
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Legal Business Name | HOME RUN TRANSPORTATION & SERVICES, LLC
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Dates
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Enumeration Date | 05/23/2019
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Last Update Date | 04/11/2023
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Provider Practice Location Address
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Address Line | 12600 HERITAGE AVE
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City | FREDERICKSBURG
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State | VA
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Zip | 22407-2143
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Country | US
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Telephone | 540-734-9423
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Fax | 202-951-4217
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Provider Business Mailing Address
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Address Line | PO BOX 2427
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City | SPOTSYLVANIA
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State | VA
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Zip | 22553-6811
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Country | US
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Telephone | 540-734-9423
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Fax | 202-951-4217
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Authorized Official
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Title or Position | COO
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Name | MR. MARTIN ABRAMS
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Credential |
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Telephone | 540-734-9423
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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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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