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General NPI Number Information
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NPI Number | 1770306573
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Entity Type | Organization
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Legal Business Name | 1ST METRO NEMT, LLC
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Dates
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Enumeration Date | 11/01/2024
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Last Update Date | 11/01/2024
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Provider Practice Location Address
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Address Line | 491 SIMPSON ST
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City | MCDONOUGH
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State | GA
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Zip | 30253-3454
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Country | US
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Telephone | 404-547-2549
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Fax |
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Provider Business Mailing Address
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Address Line | 491 SIMPSON ST
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City | MCDONOUGH
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State | GA
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Zip | 30253-3454
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Country | US
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Telephone | 404-547-2549
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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 | KENNETH TURNER
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Credential |
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Telephone | 404-547-2549
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 342000000X
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Taxonomy Name | Transportation Network Company
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License Number |
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License Number State |
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