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General NPI Number Information
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NPI Number | 1598280844
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Entity Type | Organization
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Legal Business Name | DAISY'S TRANSPORTATION LLC
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Dates
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Enumeration Date | 08/08/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 710 N. MAIN STREET
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City | EMPORIA
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State | VA
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Zip | 23847
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Country | US
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Telephone | 434-774-4864
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Fax |
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Provider Business Mailing Address
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Address Line | 710 N MAIN ST
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City | EMPORIA
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State | VA
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Zip | 23847-1242
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Country | US
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Telephone | 434-774-4864
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SHANQUELL DAISY PARHAM
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Credential |
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Telephone | 434-774-4864
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 172A00000X
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Taxonomy Name | Driver
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License Number | T69011790
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License Number State | VA
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