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General NPI Number Information
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NPI Number | 1689285660
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Entity Type | Organization
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Legal Business Name | VA STATE TRANSPORTATION LLC
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Dates
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Enumeration Date | 08/12/2020
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Last Update Date | 10/05/2020
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Provider Practice Location Address
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Address Line | 11079 QUAIL WHISTLE DR
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City | GLEN ALLEN
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State | VA
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Zip | 23059-5200
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Country | US
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Telephone | 804-475-0073
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Fax | 804-262-9212
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Provider Business Mailing Address
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Address Line | 11079 QUAIL WHISTLE DR
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City | GLEN ALLEN
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State | VA
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Zip | 23059-5200
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Country | US
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Telephone | 804-475-0073
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Fax | 804-262-9212
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Authorized Official
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Title or Position | OWNER/PARTNER
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Name | HOSSAIN AHMED
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Credential |
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Telephone | 804-475-0073
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QE0002X
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Taxonomy Name | Emergency Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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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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