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General NPI Number Information
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NPI Number | 1689334831
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Entity Type | Organization
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Legal Business Name | DANNIE MAE'S EXPRESS
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Dates
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Enumeration Date | 12/28/2021
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Last Update Date | 12/28/2021
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Provider Practice Location Address
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Address Line | 1990 RAMBLING DR SW UNIT 106
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City | ATLANTA
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State | GA
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Zip | 30315-5954
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Country | US
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Telephone | 470-530-6515
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Fax |
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Provider Business Mailing Address
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Address Line | 85 MOUNT ZION RD SW APT 85
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City | ATLANTA
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State | GA
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Zip | 30354-2335
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Country | US
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Telephone | 470-530-6515
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. JESSICA D FULLER
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Credential |
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Telephone | 470-530-6515
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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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