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General NPI Number Information
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NPI Number | 1689439747
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Entity Type | Organization
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Legal Business Name | ANOINTED WHEELS LOGISTICS
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Dates
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Enumeration Date | 02/19/2024
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Last Update Date | 02/19/2024
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Provider Practice Location Address
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Address Line | 8735 DUNWOODY PL STE R
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City | ATLANTA
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State | GA
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Zip | 30350-2995
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Country | US
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Telephone | 678-506-0912
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Fax |
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Provider Business Mailing Address
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Address Line | 2630 THUNDER BASIN WAY
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City | DOUGLASVILLE
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State | GA
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Zip | 30135-8917
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Country | US
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Telephone | 502-614-9391
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Fax |
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | MRS. CANDYCE M GUY-JOHNSON
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Credential |
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Telephone | 678-506-0912
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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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