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General NPI Number Information
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NPI Number | 1588520803
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Entity Type | Organization
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Legal Business Name | GRANDDEE TRANSPORTATION LLC
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Dates
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Enumeration Date | 12/30/2025
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Last Update Date | 12/30/2025
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Provider Practice Location Address
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Address Line | 60 N ARLINGTON AVE APT 410
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City | EAST ORANGE
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State | NJ
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Zip | 07017-4135
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Country | US
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Telephone | 862-276-7621
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Fax |
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Provider Business Mailing Address
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Address Line | 60 N ARLINGTON AVE APT 410
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City | EAST ORANGE
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State | NJ
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Zip | 07017-4135
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Country | US
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Telephone | 862-276-7621
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Fax |
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | SHAMIKAH S ELLIOTT
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Credential |
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Telephone | 973-573-5112
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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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