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General NPI Number Information
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NPI Number | 1861898660
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Entity Type | Organization
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Legal Business Name | FIRST PRIORITY TRANSPORTATION
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Dates
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Enumeration Date | 11/06/2014
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Last Update Date | 11/06/2014
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Provider Practice Location Address
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Address Line | 1200 S COURTHOUSE RD APT 712
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City | ARLINGTON
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State | VA
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Zip | 22204-6265
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Country | US
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Telephone | 703-399-5257
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Fax | 571-982-4901
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Provider Business Mailing Address
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Address Line | 1200 S. COURTHOUSE RD SUITE 712
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City | ARLINGTON
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State | VA
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Zip | 22204
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Country | US
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Telephone | 703-399-5257
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Fax | 571-982-4901
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Authorized Official
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Title or Position | OWNER
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Name | WONDWOSEN ASFAW
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Credential |
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Telephone | 703-399-5257
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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 | BLC-1000977602-03
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License Number State | VA
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