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General NPI Number Information
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NPI Number | 1659758696
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Entity Type | Organization
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Legal Business Name | Q-CARE TRANSPORTATION SERIVICE
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Dates
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Enumeration Date | 04/29/2015
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Last Update Date | 04/29/2015
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Provider Practice Location Address
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Address Line | 9042 VIDETTE LN
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City | MECHANICSVILLE
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State | VA
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Zip | 23116-6571
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Country | US
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Telephone | 804-955-7870
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Fax |
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Provider Business Mailing Address
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Address Line | 9042 VIDETTE LN
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City | MECHANICSVILLE
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State | VA
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Zip | 23116-6571
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Country | US
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Telephone | 804-955-7870
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | MARLON T MCCORMICK SR.
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Credential |
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Telephone | 804-955-7870
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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 | 251
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License Number State | VA
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