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General NPI Number Information
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NPI Number | 1679318927
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Entity Type | Organization
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Legal Business Name | NOEL AVE TRANSPORTATION LLC
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Dates
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Enumeration Date | 06/27/2024
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Last Update Date | 06/27/2024
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Provider Practice Location Address
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Address Line | 1239 RICHLAND RD SW
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City | ATLANTA
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State | GA
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Zip | 30310-3241
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Country | US
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Telephone | 404-729-9895
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Fax |
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Provider Business Mailing Address
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Address Line | 1700 NORTHSIDE DR NW STE A7 #1051
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City | ATLANTA
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State | GA
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Zip | 30318
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/ FOUNDER
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Name | NEYASHA ELY
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Credential |
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Telephone | 404-729-9895
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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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