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General NPI Number Information
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NPI Number | 1851102875
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Entity Type | Organization
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Legal Business Name | HEALTHWAY TRANSPORT LLC
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Dates
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Enumeration Date | 01/17/2025
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Last Update Date | 01/18/2025
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Provider Practice Location Address
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Address Line | 2802 RHODE ISLAND AVE NE STE 2
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City | WASHINGTON
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State | DC
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Zip | 20018-2928
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Country | US
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Telephone | 301-541-6005
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Fax |
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Provider Business Mailing Address
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Address Line | 2002 OLIVER ST
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City | HYATTSVILLE
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State | MD
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Zip | 20782-2731
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Country | US
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Telephone | 301-541-6005
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | FIRAOLI SEBOKA
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Credential |
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Telephone | 301-541-6005
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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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