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General NPI Number Information
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NPI Number | 1528599925
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Entity Type | Organization
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Legal Business Name | DYNAMEX LOGISTICS GROUP
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Dates
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Enumeration Date | 03/27/2017
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Last Update Date | 03/27/2017
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Provider Practice Location Address
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Address Line | 1040 W MARIETTA ST NW
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City | ATLANTA
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State | GA
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Zip | 30318-5218
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Country | US
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Telephone | 404-587-9242
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Fax | 888-492-6456
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Provider Business Mailing Address
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Address Line | 1040 W MARIETTA ST NW
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City | ATLANTA
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State | GA
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Zip | 30318-5218
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Country | US
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Telephone | 404-587-9242
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Fax | 888-492-6456
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Authorized Official
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Title or Position | CEO
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Name | MR. CHRISTOPHER MARTELL TYLER
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Credential |
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Telephone | 404-587-9242
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State | GA
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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 | FL
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Taxonomy #3
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State | FL
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Taxonomy #4
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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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