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General NPI Number Information
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NPI Number | 1598264152
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Entity Type | Organization
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Legal Business Name | ONE LIFE TRANSPORTATION, LLC
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Dates
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Enumeration Date | 02/08/2018
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Last Update Date | 07/12/2018
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Provider Practice Location Address
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Address Line | 1024 34TH ST
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City | NEWPORT NEWS
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State | VA
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Zip | 23607
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Country | US
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Telephone | 757-595-1948
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Fax | 757-595-1948
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Provider Business Mailing Address
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Address Line | 1024 34TH ST
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City | NEWPORT NEWS
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State | VA
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Zip | 23607-3512
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Country | US
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Telephone | 757-595-1948
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Fax | 757-595-1948
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Authorized Official
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Title or Position | OWNER
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Name | MRS. SHYANN SHYRON HAMPTON-SANOGO
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Credential |
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Telephone | 757-595-1948
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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 | VA
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