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General NPI Number Information
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NPI Number | 1851908164
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Entity Type | Organization
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Legal Business Name | A UNIQUE GUIDANCE TRANSPORTATION LLC
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Dates
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Enumeration Date | 09/30/2020
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Last Update Date | 09/30/2020
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Provider Practice Location Address
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Address Line | 72 COLONIAL DR STE B
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City | MONROE
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State | LA
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Zip | 71203-2505
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Country | US
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Telephone | 318-237-5987
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Fax | 318-345-4068
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Provider Business Mailing Address
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Address Line | 72 COLONIAL DR STE B
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City | MONROE
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State | LA
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Zip | 71203-2505
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Country | US
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Telephone | 318-237-5987
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Fax | 318-345-4068
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Authorized Official
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Title or Position | DIRECTOR
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Name | REGINA MAYS
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Credential |
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Telephone | 318-237-5987
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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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