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General NPI Number Information
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NPI Number | 1649752460
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Entity Type | Organization
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Legal Business Name | PROMPT TRANSPORTATION, LLC
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Dates
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Enumeration Date | 08/29/2018
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Last Update Date | 08/29/2018
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Provider Practice Location Address
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Address Line | 737B COOPER RD
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City | JACKSON
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State | MS
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Zip | 39212-4108
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Country | US
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Telephone | 601-372-8574
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Fax |
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Provider Business Mailing Address
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Address Line | 103 DOGWOOD WAY
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City | PEARL
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State | MS
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Zip | 39208-8110
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Country | US
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Telephone | 601-613-5522
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Fax | 769-216-2933
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Authorized Official
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Title or Position | MEMBER
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Name | KIMBERLY VIVERETTE
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Credential |
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Telephone | 601-613-5522
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number |
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License Number State |
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