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General NPI Number Information
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NPI Number | 1891374567
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Entity Type | Organization
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Legal Business Name | POWELL TRANSPORT SERVICES LLC
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Dates
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Enumeration Date | 04/07/2021
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Last Update Date | 06/28/2021
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Provider Practice Location Address
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Address Line | 305 E TRINITY LN STE 106
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City | NASHVILLE
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State | TN
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Zip | 37207-4653
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Country | US
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Telephone | 615-955-3564
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Fax |
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Provider Business Mailing Address
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Address Line | 3201 HOSPITAL LN
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City | NASHVILLE
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State | TN
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Zip | 37218-3029
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Country | US
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Telephone | 615-968-1964
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KEVONDA POWELL
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Credential |
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Telephone | 615-955-3564
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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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