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General NPI Number Information
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NPI Number | 1760274724
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Entity Type | Organization
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Legal Business Name | MEDIZEN TRANSIT SERVICES LLC
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Dates
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Enumeration Date | 05/17/2025
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Last Update Date | 05/17/2025
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Provider Practice Location Address
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Address Line | 30 STONEBROOK PL
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City | LAWRENCEVILLE
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State | GA
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Zip | 30043-2936
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Country | US
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Telephone | 470-535-8540
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Fax |
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Provider Business Mailing Address
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Address Line | 30 STONEBROOK PL
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City | LAWRENCEVILLE
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State | GA
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Zip | 30043-2936
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Country | US
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Telephone | 470-535-8540
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Fax |
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Authorized Official
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Title or Position | MANAGING DIRECTOR
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Name | CAROLE F MEDOU
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Credential | ONWER
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Telephone | 470-535-8540
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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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