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General NPI Number Information
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NPI Number | 1609556711
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Entity Type | Organization
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Legal Business Name | AYEWARD TRANSPORATION LOGISTICS AND TOWING
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Dates
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Enumeration Date | 07/24/2023
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Last Update Date | 07/24/2023
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Provider Practice Location Address
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Address Line | 2210 MEADOW DR STE 5
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City | LOUISVILLE
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State | KY
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Zip | 40218-1374
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Country | US
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Telephone | 270-735-3679
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Fax |
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Provider Business Mailing Address
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Address Line | 5360 SONORA RD
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City | HODGENVILLE
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State | KY
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Zip | 42748-9663
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Country | US
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Telephone | 270-735-3679
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Fax |
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Authorized Official
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Title or Position | CHIEF ADMINISTRATIVE OFFICER
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Name | MS. SPERLISHA AYENI
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Credential |
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Telephone | 270-735-3679
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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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