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General NPI Number Information
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NPI Number | 1669040507
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Entity Type | Organization
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Legal Business Name | ON OUR WAY TRANSPORTATION, LLC
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Dates
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Enumeration Date | 06/16/2021
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Last Update Date | 06/16/2021
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Provider Practice Location Address
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Address Line | 5705 W 65TH ST
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City | LITTLE ROCK
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State | AR
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Zip | 72209-3827
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Country | US
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Telephone | 501-404-4469
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Fax | 844-360-2347
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Provider Business Mailing Address
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Address Line | PO BOX 1043
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City | MABELVALE
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State | AR
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Zip | 72103-1043
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Country | US
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Telephone | 501-404-4469
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Fax | 844-360-2347
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Authorized Official
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Title or Position | OWNER
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Name | PAMELA ALLEN
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Credential |
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Telephone | 501-406-4469
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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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