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General NPI Number Information
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NPI Number | 1568129229
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Entity Type | Organization
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Legal Business Name | RTS EXPRESS TRANSPORTATION LLC
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Dates
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Enumeration Date | 11/17/2021
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Last Update Date | 11/23/2021
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Provider Practice Location Address
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Address Line | 2718 E BEVERLY RD
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City | PHOENIX
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State | AZ
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Zip | 85042-7065
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Country | US
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Telephone | 480-349-8139
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Fax |
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Provider Business Mailing Address
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Address Line | 2718 E BEVERLY RD
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City | PHOENIX
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State | AZ
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Zip | 85042-7065
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CHANEL RENEE FRAZIER
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Credential |
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Telephone | 480-349-8139
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 385HR2055X
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Taxonomy Name | Child Mental Illness Respite Care
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License Number |
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License Number State |
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