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General NPI Number Information
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NPI Number | 1659253144
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Entity Type | Organization
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Legal Business Name | GOLDIESCARETRANSPORTATION
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Dates
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Enumeration Date | 07/24/2025
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | 1955 SHAFTESBURY RD
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City | DAYTON
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State | OH
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Zip | 45406-3817
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Country | US
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Telephone | 937-277-2740
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Fax |
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Provider Business Mailing Address
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Address Line | 1307 BLAIRWOOD AVE
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City | DAYTON
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State | OH
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Zip | 45417-6025
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Country | US
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Telephone | 937-694-3335
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Fax |
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Authorized Official
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Title or Position | NON-MEDICAL TRANSOPRTATION
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Name | DEMETRIUS LEON YOUNG
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Credential |
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Telephone | 937-694-3335
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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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