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General NPI Number Information
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NPI Number | 1528770369
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Entity Type | Organization
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Legal Business Name | ALTRUISTIC MOBILITY TRANSPORTATION
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Dates
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Enumeration Date | 12/22/2022
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Last Update Date | 12/22/2022
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Provider Practice Location Address
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Address Line | 1445 WOODMONT LN NW # 1134
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City | ATLANTA
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State | GA
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Zip | 30318-2866
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Country | US
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Telephone | 713-819-6795
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Fax |
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Provider Business Mailing Address
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Address Line | 201 KITTS DR
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City | AUGUSTA
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State | GA
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Zip | 30909-1831
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Country | US
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Telephone | 786-877-5919
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | CHRISTOPHER COOK
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Credential |
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Telephone | 803-257-7721
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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 |
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