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General NPI Number Information
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NPI Number | 1700649621
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Entity Type | Organization
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Legal Business Name | MOVING VISION TRANSPORTATION SERVICES
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Dates
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Enumeration Date | 02/02/2024
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Last Update Date | 02/21/2024
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Provider Practice Location Address
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Address Line | 118 DOROTHY LN
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City | LAWRENCEVILLE
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State | GA
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Zip | 30046-4444
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Country | US
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Telephone | 470-641-8683
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Fax |
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Provider Business Mailing Address
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Address Line | 455 GRAYSON HWY STE 113, PMB #30
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City | LAWRENCEVILLE
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State | GA
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Zip | 30046-4444
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Country | US
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Telephone | 470-641-8683
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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 | MR. SEAN R HARRIS
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Credential |
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Telephone | 309-310-2475
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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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