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General NPI Number Information
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NPI Number | 1659248441
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Entity Type | Organization
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Legal Business Name | NEW ARK LOGISTICS, LLC
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Dates
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Enumeration Date | 10/17/2025
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Last Update Date | 10/22/2025
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Provider Practice Location Address
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Address Line | 3477 MACKINAC ISLAND LN
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City | RALEIGH
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State | NC
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Zip | 27610-6915
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Country | US
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Telephone | 919-758-3345
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Fax |
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Provider Business Mailing Address
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Address Line | 3477 MACKINAC ISLAND LN
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City | RALEIGH
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State | NC
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Zip | 27610-6915
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Country | US
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Telephone | 919-758-3345
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Fax |
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Authorized Official
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Title or Position | NEMT
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Name | PATRICIA ANN BALLENTINE
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Credential |
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Telephone | 919-758-3345
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171WV0202X
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Taxonomy Name | Vehicle Modifications Contractor
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License Number |
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License Number State |
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