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General NPI Number Information
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NPI Number | 1649932872
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Entity Type | Organization
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Legal Business Name | VERSATILE SOLUTIONS & LOGISTICS LLC
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Dates
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Enumeration Date | 10/05/2021
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Last Update Date | 10/05/2021
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Provider Practice Location Address
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Address Line | 3804 JODY ST
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City | MOSS POINT
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State | MS
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Zip | 39562-8246
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Country | US
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Telephone | 228-213-0229
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Fax |
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Provider Business Mailing Address
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Address Line | 3804 JODY ST
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City | MOSS POINT
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State | MS
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Zip | 39562-8246
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Country | US
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Telephone | 228-213-0229
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SARAH CREAR
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Credential |
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Telephone | 228-213-0229
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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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 | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 372500000X
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Taxonomy Name | Chore Provider
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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