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General NPI Number Information
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NPI Number | 1568321958
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Entity Type | Organization
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Legal Business Name | EVERGREEN EXPRESS LLC
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Dates
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Enumeration Date | 01/20/2026
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Last Update Date | 01/27/2026
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Provider Practice Location Address
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Address Line | 3637 6TH ST
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City | SACHSE
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State | TX
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Zip | 75048-3801
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Country | US
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Telephone | 214-517-2041
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Fax |
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Provider Business Mailing Address
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Address Line | 3637 6TH ST
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City | SACHSE
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State | TX
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Zip | 75048-3801
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Country | US
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Telephone | 214-517-2041
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MAKDA WOLDE
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Credential | MANAGER
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Telephone | 214-517-2041
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343800000X
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Taxonomy Name | Secured Medical Transport (VAN)
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License Number |
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License Number State |
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