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General NPI Number Information
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NPI Number | 1619754538
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Entity Type | Organization
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Legal Business Name | MEDICAL TRANSPORTATION-TENDER CARE LLC
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Dates
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Enumeration Date | 09/13/2023
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Last Update Date | 09/16/2023
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Provider Practice Location Address
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Address Line | 2424 GLOUSTER POINTE DR
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City | DUMFRIES
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State | VA
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Zip | 22026-3020
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Country | US
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Telephone | 703-459-3492
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Fax |
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Provider Business Mailing Address
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Address Line | 2424 GLOUSTER POINTE DR
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City | DUMFRIES
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State | VA
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Zip | 22026-3020
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Country | US
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Telephone | 571-424-0446
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | MARIATU KASIM TURAY
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Credential | NURSE PRACTITIONER
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Telephone | 703-705-9500
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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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