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General NPI Number Information
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NPI Number | 1710465638
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Entity Type | Organization
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Legal Business Name | MONICA'S HOPE ' DRIVING FOR A CURE' TRANSPORTATION SERVICES LLC
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Dates
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Enumeration Date | 08/02/2018
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Last Update Date | 08/02/2018
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Provider Practice Location Address
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Address Line | 179 MORGANTOWN RD
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City | NATCHEZ
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State | MS
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Zip | 39120-1701
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Country | US
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Telephone | 601-443-7998
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Fax |
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Provider Business Mailing Address
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Address Line | 179 MORGANTOWN RD
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City | NATCHEZ
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State | MS
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Zip | 39120-1701
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Country | US
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Telephone | 601-443-7998
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MONICA ALESIA SMITH
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Credential |
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Telephone | 601-443-7998
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347E00000X
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Taxonomy Name | Transportation Broker
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License Number | 801808189
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License Number State | MS
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