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General NPI Number Information
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NPI Number | 1679990907
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Entity Type | Organization
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Legal Business Name | AEX EXPRESS, LLC
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Dates
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Enumeration Date | 03/25/2014
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Last Update Date | 03/25/2014
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Provider Practice Location Address
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Address Line | 119 WOODLAKE DR
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City | PINEVILLE
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State | LA
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Zip | 71360-4762
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Country | US
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Telephone | 318-305-2023
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 14525
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City | ALEXANDRIA
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State | LA
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Zip | 71315-4525
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Country | US
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Telephone | 318-305-2023
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | MR. ZIAD A ISSA
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Credential |
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Telephone | 318-623-2050
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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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