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General NPI Number Information
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NPI Number | 1588462980
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Entity Type | Organization
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Legal Business Name | ESSENCE NON EMERGENCY TRANSPORTATION LLC
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Dates
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Enumeration Date | 03/04/2025
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Last Update Date | 03/04/2025
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Provider Practice Location Address
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Address Line | 10600 CAPITOL PEAK AVE
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City | LAS VEGAS
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State | NV
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Zip | 89166-5033
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Country | US
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Telephone | 775-292-5366
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Fax |
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Provider Business Mailing Address
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Address Line | 10600 CAPITOL PEAK AVE
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City | LAS VEGAS
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State | NV
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Zip | 89166-5033
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Country | US
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Telephone | 775-292-5366
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ASHLEY HICKMAN
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Credential |
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Telephone | 775-292-5366
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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