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General NPI Number Information
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NPI Number | 1831872662
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Entity Type | Organization
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Legal Business Name | LIGHTYEAR WIRELESS
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Dates
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Enumeration Date | 08/09/2023
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Last Update Date | 08/09/2023
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Provider Practice Location Address
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Address Line | 4700 W COMMERCIAL DR STE B3
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City | NORTH LITTLE ROCK
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State | AR
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Zip | 72116-8073
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Country | US
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Telephone | 501-557-3888
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Fax | 501-333-9192
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Provider Business Mailing Address
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Address Line | 6834 CANTRELL RD # 2099
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City | LITTLE ROCK
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State | AR
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Zip | 72207-4135
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Country | US
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Telephone |
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Fax | 501-333-9192
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Authorized Official
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Title or Position | CLIENT CARE MANAGER
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Name | LATOSHA MARTIN
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Credential |
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Telephone | 501-557-3888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 333300000X
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Taxonomy Name | Emergency Response System Companies
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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 | 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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Taxonomy #4
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Taxonomy Code | 347E00000X
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Taxonomy Name | Transportation Broker
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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