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General NPI Number Information
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NPI Number | 1558074187
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Entity Type | Organization
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Legal Business Name | PERSISTENT CARE TRANSPORT INC
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Dates
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Enumeration Date | 12/28/2022
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Last Update Date | 12/28/2022
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Provider Practice Location Address
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Address Line | 21 SERVAN CT
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City | WILMINGTON
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State | DE
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Zip | 19805-2900
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Country | US
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Telephone | 302-548-7970
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Fax |
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Provider Business Mailing Address
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Address Line | 21 SERVAN CT
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City | WILMINGTON
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State | DE
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Zip | 19805-2900
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Country | US
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Telephone | 302-548-7970
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ANDELE SPENCER JOHNSON
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Credential |
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Telephone | 610-802-5215
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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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