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General NPI Number Information
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NPI Number | 1861206948
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Entity Type | Organization
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Legal Business Name | CITILYNX TRANSPORT SERVICES INC
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Dates
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Enumeration Date | 02/06/2025
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Last Update Date | 03/11/2025
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Provider Practice Location Address
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Address Line | 431 LILLIAN DR
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City | MEMPHIS
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State | TN
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Zip | 38109-4321
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Country | US
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Telephone | 973-868-4883
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Fax |
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Provider Business Mailing Address
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Address Line | 365 VICKI LN
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City | STOCKBRIDGE
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State | GA
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Zip | 30281-2279
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Country | US
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Telephone | 973-868-4883
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. KIRK RUSSELL
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Credential | PROVIDER
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Telephone | 973-868-4883
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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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