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General NPI Number Information
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NPI Number | 1871457499
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Entity Type | Organization
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Legal Business Name | DYER TOMBLIN TRANSPORT LLC
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Dates
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Enumeration Date | 12/10/2025
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 755 EAST FORK TWELVEPOLE
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City | DINGESS
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State | WV
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Zip | 25649-0294
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Country | US
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Telephone | 304-928-8766
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Fax | 304-752-8536
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Provider Business Mailing Address
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Address Line | PO BOX 294
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City | VERDUNVILLE
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State | WV
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Zip | 25649-0294
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Country | US
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Telephone | 304-928-8766
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Fax | 304-752-8536
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Authorized Official
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Title or Position | OWNER
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Name | MS. MANDA MAE HALL-MULLINS
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Credential |
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Telephone | 304-928-8766
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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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