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General NPI Number Information
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NPI Number | 1700034899
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Entity Type | Organization
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Legal Business Name | 5 STAR MEDICAL TRANSPORT, LLC
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Dates
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Enumeration Date | 09/03/2008
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Last Update Date | 09/03/2008
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Provider Practice Location Address
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Address Line | 801 BUTLER ST SUITE 5
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City | CHESAPEAKE
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State | VA
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Zip | 23323-3404
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Country | US
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Telephone | 757-558-4050
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Fax | 757-487-9633
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Provider Business Mailing Address
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Address Line | 420 PLUMMER DR SUITE 200
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City | CHESAPEAKE
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State | VA
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Zip | 23323-3116
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Country | US
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Telephone | 757-558-4050
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Fax | 757-487-9633
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Authorized Official
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Title or Position | OWNER
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Name | MS. ROBYNNE REDMON
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Credential |
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Telephone | 757-558-4050
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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 | 94
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License Number State | VA
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