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General NPI Number Information
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NPI Number | 1528338167
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Entity Type | Organization
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Legal Business Name | M&P TRANSPORTATION
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Dates
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Enumeration Date | 01/12/2012
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Last Update Date | 01/12/2012
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Provider Practice Location Address
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Address Line | 1717 GRASSY VIEW DR
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City | FORT WORTH
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State | TX
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Zip | 76177-7555
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Country | US
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Telephone | 214-541-5397
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Fax | 972-499-1265
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Provider Business Mailing Address
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Address Line | 1717 GRASSY VIEW DR
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City | FORT WORTH
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State | TX
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Zip | 76177-7555
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Country | US
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Telephone | 214-541-5397
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Fax | 972-499-1265
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Authorized Official
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Title or Position | MANAGING DIRECTOR
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Name | JOIA L MCDANIEL
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Credential |
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Telephone | 214-541-5397
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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 | 33406810
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License Number State | TX
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