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General NPI Number Information
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NPI Number | 1669172417
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Entity Type | Organization
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Legal Business Name | CHOZYN TRANSIT LLC
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Dates
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Enumeration Date | 03/08/2023
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Last Update Date | 05/17/2023
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Provider Practice Location Address
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Address Line | 7705 CORTONA WAY
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City | WENDELL
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State | NC
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Zip | 27591-7439
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Country | US
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Telephone | 919-525-5643
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Fax |
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Provider Business Mailing Address
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Address Line | 7705 CORTONA WAY
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City | WENDELL
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State | NC
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Zip | 27591-7439
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Country | US
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Telephone | 919-525-5643
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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 | TARI BULLOCK
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Credential |
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Telephone | 919-337-7087
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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