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General NPI Number Information
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NPI Number | 1609426808
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Entity Type | Organization
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Legal Business Name | CMC TRANSPORTATION
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Dates
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Enumeration Date | 09/19/2019
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Last Update Date | 09/19/2019
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Provider Practice Location Address
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Address Line | 1641 N MARKET DR
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City | RALEIGH
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State | NC
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Zip | 27609-6259
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Country | US
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Telephone | 919-618-2618
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Fax | 919-651-9716
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Provider Business Mailing Address
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Address Line | 1641 N MARKET DR
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City | RALEIGH
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State | NC
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Zip | 27609-6259
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Country | US
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Telephone | 919-618-2618
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Fax |
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Authorized Official
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Title or Position | OPERATIONS SUPERVISOR
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Name | JUNIOR LENWORTH DAVIS
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Credential |
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Telephone | 919-650-3754
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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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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