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General NPI Number Information
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NPI Number | 1801430947
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Entity Type | Organization
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Legal Business Name | COLONIAL TRANSIT, LLC
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Dates
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Enumeration Date | 11/01/2019
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Last Update Date | 11/01/2019
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Provider Practice Location Address
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Address Line | 1714 SKIFFES CREEK CIR
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City | WILLIAMSBURG
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State | VA
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Zip | 23185-6259
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Country | US
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Telephone | 757-565-1966
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Fax |
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Provider Business Mailing Address
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Address Line | 1714 SKIFFES CREEK CIR
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City | WILLIAMSBURG
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State | VA
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Zip | 23185-6259
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Country | US
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Telephone | 757-565-1966
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MR. RYAN FROST BONNEY
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Credential |
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Telephone | 757-565-1966
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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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