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NPI 1588014484

NPI 1588014484 : TRINITY PLUS 1 TRANSPORTATION LLC : HOPEWELL, VA

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General NPI Number Information
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    NPI Number           |    1588014484
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    Entity Type          |    Organization 
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    Legal Business Name  |    TRINITY PLUS 1 TRANSPORTATION LLC 
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Dates
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    Enumeration Date     |    06/21/2016
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    Last Update Date     |    03/21/2017
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Provider Practice Location Address
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    Address Line         |    108 N. 7TH AVENUE 
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    City                 |    HOPEWELL
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    State                |    VA
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    Zip                  |    23860
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    Country              |    US
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    Telephone            |    804-479-4007
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    P.O. BOX 493 
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    City                 |    HOPEWELL
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    State                |    VA
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    Zip                  |    23860
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    Country              |    US
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    Telephone            |    804-479-4007
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MRS. LAURA  AMISON 
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    Credential           |    BBA, MDIV
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    Telephone            |    804-479-4007
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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       |    24145
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    License Number State |    VA
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