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General NPI Number Information
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NPI Number | 1548196918
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Entity Type | Organization
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Legal Business Name | NC PREMIER MEDICAL TRANSPORT LLC
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Dates
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Enumeration Date | 06/22/2026
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Last Update Date | 06/22/2026
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Provider Practice Location Address
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Address Line | 4810 HOPE VALLEY RD STE 115
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City | DURHAM
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State | NC
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Zip | 27707-6631
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Country | US
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Telephone | 984-375-9980
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Fax | 984-375-9801
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Provider Business Mailing Address
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Address Line | 4810 HOPE VALLEY RD STE 115
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City | DURHAM
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State | NC
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Zip | 27707-6631
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Country | US
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Telephone | 984-375-9980
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Fax | 984-375-9801
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Authorized Official
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Title or Position | PART OWNER
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Name | LORANNYI TAVERAZ
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Credential |
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Telephone | 984-375-9980
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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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