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General NPI Number Information
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NPI Number | 1538948534
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Entity Type | Organization
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Legal Business Name | PELON GROUP, INC
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Dates
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Enumeration Date | 09/28/2023
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Last Update Date | 11/28/2023
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Provider Practice Location Address
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Address Line | 3408 DOWNING WAY
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City | MESQUITE
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State | TX
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Zip | 75150-4328
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Country | US
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Telephone | 214-986-6212
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Fax | 469-399-5006
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Provider Business Mailing Address
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Address Line | 3408 DOWNING WAY
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City | MESQUITE
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State | TX
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Zip | 75150-4328
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Country | US
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Telephone | 214-986-6212
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Fax | 469-399-5006
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Authorized Official
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Title or Position | MANAGER
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Name | MR. LAWRENCE O NWEGBO
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Credential | CEO
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Telephone | 121-498-6621
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347E00000X
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Taxonomy Name | Transportation Broker
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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 | 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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