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NPI 1821363383

NPI 1821363383 : TAMAR TRANSPORT SERVICES LLC : COLLEYVILLE, TX

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General NPI Number Information
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    NPI Number           |    1821363383
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    Entity Type          |    Organization 
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    Legal Business Name  |    TAMAR TRANSPORT SERVICES LLC 
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Dates
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    Enumeration Date     |    03/16/2012
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    Last Update Date     |    03/29/2012
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Provider Practice Location Address
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    Address Line         |    3105 WOODLAND HEIGHTS CIR 
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    City                 |    COLLEYVILLE
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    State                |    TX
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    Zip                  |    76034-4679
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    Country              |    US
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    Telephone            |    817-304-5316
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    Fax                  |    817-545-4033
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Provider Business Mailing Address
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    Address Line         |    3105 WOODLAND HEIGHTS CIR 
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    City                 |    COLLEYVILLE
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    State                |    TX
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    Zip                  |    76034-4679
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    Country              |    US
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    Telephone            |    817-304-5316
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    Fax                  |    817-545-4033
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Authorized Official
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    Title or Position    |    OWNER/MANAGER
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    Name                 |    MR. CURLEY  BENSON 
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    Credential           |    
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    Telephone            |    817-304-5316
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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 |    TX
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