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General NPI Number Information
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NPI Number | 1881391456
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Entity Type | Organization
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Legal Business Name | BLUE ROSE NON MED TRANSPORT LLC
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Dates
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Enumeration Date | 02/14/2023
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Last Update Date | 04/07/2023
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Provider Practice Location Address
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Address Line | 8202 COMSTOCK TER
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City | PICKERINGTON
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State | OH
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Zip | 43147-7680
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Country | US
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Telephone | 614-370-8459
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Fax |
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Provider Business Mailing Address
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Address Line | 8202 COMSTOCK TER
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City | PICKERINGTON
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State | OH
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Zip | 43147-7680
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Country | US
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Telephone | 614-370-8459
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MISS SHERRY ADEGOKE
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Credential |
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Telephone | 614-370-8459
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 405300000X
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Taxonomy Name | Prevention Professional
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License Number |
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License Number State |
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