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General NPI Number Information
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NPI Number | 1811772411
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Entity Type | Individual
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Provider Name | THOMAS DUKE JR. TRANSPORTATION
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Gender | Male
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Dates
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Enumeration Date | 08/30/2023
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Last Update Date | 08/30/2023
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Provider Practice Location Address
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Address Line | 4727 W JAMES CT
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City | VISALIA
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State | CA
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Zip | 93277-5162
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Country | US
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Telephone | 702-591-7255
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Fax |
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Provider Business Mailing Address
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Address Line | 4727 W JAMES CT
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City | VISALIA
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State | CA
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Zip | 93277-5162
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Country | US
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Telephone | 702-591-7255
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 172A00000X
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Taxonomy Name | Driver
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License Number | 1707356257
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 224ZR0403X
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Taxonomy Name | Driving and Community Mobility Occupational Therapy Assistant
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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 | 1707356257
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License Number State | NV
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Taxonomy #4
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number | 1707356257
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License Number State | NV
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