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General NPI Number Information
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NPI Number | 1811921885
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Entity Type | Organization
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Legal Business Name | OUR FAMILY L.L.C
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 09/07/2010
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Provider Practice Location Address
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Address Line | 5405 LAKE CT
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City | DOUGLASVILLE
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State | GA
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Zip | 30135-2511
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Country | US
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Telephone | 800-796-7089
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Fax | 800-578-5086
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Provider Business Mailing Address
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Address Line | 5405 LAKE CT
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City | DOUGLASVILLE
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State | GA
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Zip | 30135-2511
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Country | US
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Telephone | 800-796-7089
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Fax | 800-578-5086
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MS. NATYSHA L'COLE WRIGHT
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Credential | LNHA
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Telephone | 800-796-7089
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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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