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General NPI Number Information
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NPI Number | 1821953530
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Entity Type | Organization
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Legal Business Name | MANGO TRANSPORTATION & SERVICES
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Dates
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Enumeration Date | 12/16/2025
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Last Update Date | 12/16/2025
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Provider Practice Location Address
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Address Line | 1056 CAVALIER LN
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City | ROCK HILL
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State | SC
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Zip | 29730-3452
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Country | US
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Telephone | 704-475-3835
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Fax |
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Provider Business Mailing Address
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Address Line | 1056 CAVALIER LN
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City | ROCK HILL
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State | SC
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Zip | 29730-3452
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Country | US
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Telephone | 704-475-3835
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Fax |
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Authorized Official
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Title or Position | FOUNDER/COO
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Name | SHANNAN BRYANT
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Credential |
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Telephone | 704-475-3835
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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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