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General NPI Number Information
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NPI Number | 1679289110
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Entity Type | Organization
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Legal Business Name | ENDLESS MILEAGE LLC
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Dates
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Enumeration Date | 01/27/2023
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Last Update Date | 01/27/2023
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Provider Practice Location Address
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Address Line | 2251 BILL FOSTER MEMORIAL HWY
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City | CABOT
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State | AR
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Zip | 72023-7200
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Country | US
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Telephone | 501-474-6199
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Fax |
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Provider Business Mailing Address
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Address Line | 6834 CANTRELL RD STE 1730
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City | LITTLE ROCK
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State | AR
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Zip | 72207-4135
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Country | US
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Telephone | 501-474-6199
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JINNA ELLINGTON
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Credential |
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Telephone | 501-474-6199
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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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