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General NPI Number Information
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NPI Number | 1730972647
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Entity Type | Organization
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Legal Business Name | ROSEBORO TRANSPORTER LLC
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Dates
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Enumeration Date | 05/23/2025
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Last Update Date | 05/23/2025
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Provider Practice Location Address
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Address Line | 412 W NORTH ST
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City | ROSEBORO
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State | NC
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Zip | 28382-6004
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Country | US
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Telephone | 910-260-7085
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Fax |
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Provider Business Mailing Address
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Address Line | 412 W NORTH ST
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City | ROSEBORO
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State | NC
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Zip | 28382-6004
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Country | US
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Telephone | 910-260-7085
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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. MICHELLE LEE ABRAHAM WHITE
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Credential |
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Telephone | 910-260-7085
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 344600000X
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Taxonomy Name | Taxi
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License Number |
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License Number State |
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