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General NPI Number Information
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NPI Number | 1790078103
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Entity Type | Organization
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Legal Business Name | SUMMIT ONE BUSINESS GROUP L.L.C
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Dates
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Enumeration Date | 05/17/2011
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Last Update Date | 05/17/2011
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Provider Practice Location Address
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Address Line | 13085 MORRIS RD #11101
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City | ALPHARETTA
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State | GA
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Zip | 30004-4155
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Country | US
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Telephone | 678-624-1795
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Fax |
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Provider Business Mailing Address
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Address Line | 13085 MORRIS RD #11101
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City | ALPHARETTA
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State | GA
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Zip | 30004-4155
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Country | US
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Telephone | 678-624-1795
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MR. WARD ALLEN STRIGGLES JR.
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Credential |
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Telephone | 678-624-1795
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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 | 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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Taxonomy #3
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 347E00000X
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Taxonomy Name | Transportation Broker
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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