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General NPI Number Information
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NPI Number | 1790433282
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Entity Type | Organization
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Legal Business Name | ACORN MEDICAL TRANSPORTATION L.L.C.
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Dates
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Enumeration Date | 03/14/2022
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Last Update Date | 03/14/2022
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Provider Practice Location Address
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Address Line | 916 ADVENTURE WAY
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City | CHESAPEAKE
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State | VA
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Zip | 23323-4126
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Country | US
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Telephone | 646-645-2575
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Fax |
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Provider Business Mailing Address
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Address Line | 916 ADVENTURE WAY
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City | CHESAPEAKE
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State | VA
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Zip | 23323-4126
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Country | US
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Telephone | 757-800-3614
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Fax | 757-800-3614
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Authorized Official
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Title or Position | OWNER
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Name | PAULA ST . JOHN
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Credential |
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Telephone | 646-645-2575
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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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 | 347B00000X
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Taxonomy Name | Bus
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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 | 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 #5
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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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