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General NPI Number Information
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NPI Number | 1598530669
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Entity Type | Organization
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Legal Business Name | DIVINE PATHWAYS TRANSPORTATION SERVICES, LLC
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Dates
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Enumeration Date | 11/20/2023
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Last Update Date | 11/23/2023
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Provider Practice Location Address
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Address Line | 3001 BROOKRUN DR
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City | JAMESTOWN
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State | NC
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Zip | 27282-7721
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Country | US
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Telephone | 336-340-4833
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Fax | 336-763-3653
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Provider Business Mailing Address
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Address Line | 3001 BROOKRUN DR
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City | JAMESTOWN
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State | NC
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Zip | 27282-7721
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Country | US
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Telephone | 336-540-4833
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Fax | 336-763-3653
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | MR. FRANKLIN A COOK
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Credential |
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Telephone | 336-540-4833
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 344600000X
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Taxonomy Name | Taxi
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 347B00000X
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Taxonomy Name | Bus
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License Number |
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License Number State |
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Taxonomy #3
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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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Taxonomy #4
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Taxonomy Code | 347E00000X
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Taxonomy Name | Transportation Broker
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 172A00000X
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Taxonomy Name | Driver
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 174200000X
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Taxonomy Name | Meals Provider
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 342000000X
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Taxonomy Name | Transportation Network Company
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License Number |
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License Number State |
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Taxonomy #8
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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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