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General NPI Number Information
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NPI Number | 1700662665
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Entity Type | Organization
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Legal Business Name | Q & S TRANSPORTATION
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Dates
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Enumeration Date | 09/06/2023
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Last Update Date | 09/15/2023
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Provider Practice Location Address
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Address Line | 726 VIA DEL REY
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City | MESQUITE
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State | TX
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Zip | 75150-3022
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Country | US
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Telephone | 414-322-4766
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Fax |
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Provider Business Mailing Address
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Address Line | 120 E GRUBB DR. P.O. BOX 851346
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City | MESQUITE
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State | TX
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Zip | 75149-3488
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Country | US
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Telephone | 414-322-4766
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LAQUISHA ANN JACKSON
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Credential |
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Telephone | 414-322-4766
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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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Taxonomy #2
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Taxonomy Code | 343800000X
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Taxonomy Name | Secured Medical Transport (VAN)
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License Number |
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License Number State |
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