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General NPI Number Information
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NPI Number | 1619534880
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Entity Type | Organization
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Legal Business Name | 1 ACCORD TRANSPORTATION, LLC
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Dates
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Enumeration Date | 05/23/2019
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Last Update Date | 05/23/2019
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Provider Practice Location Address
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Address Line | 1157 S MILITARY HWY STE 201B
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City | CHESAPEAKE
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State | VA
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Zip | 23320-2352
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Country | US
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Telephone | 757-402-3693
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Fax | 757-395-4372
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Provider Business Mailing Address
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Address Line | 1157 S MILITARY HWY STE 201B
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City | CHESAPEAKE
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State | VA
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Zip | 23320-2352
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Country | US
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Telephone | 757-402-3693
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Fax | 757-395-4372
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | MS. SHURON D POTEAT
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Credential |
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Telephone | 757-402-3693
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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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