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General NPI Number Information
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NPI Number | 1528843125
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Entity Type | Organization
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Legal Business Name | CKL SERVICES LLC
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Dates
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Enumeration Date | 08/30/2023
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Last Update Date | 08/30/2023
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Provider Practice Location Address
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Address Line | 2435 N CENTRAL EXPY STE 1276
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City | RICHARDSON
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State | TX
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Zip | 75080-2753
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Country | US
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Telephone | 469-515-1840
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Fax | 877-471-3201
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Provider Business Mailing Address
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Address Line | PO BOX 1325
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City | MORRISVILLE
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State | NC
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Zip | 27560-1325
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Country | US
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Telephone | 318-401-2422
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Fax | 877-471-3201
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Authorized Official
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Title or Position | PRESIDENT
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Name | LABREYAH OGBURN
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Credential |
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Telephone | 318-401-2422
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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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