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General NPI Number Information
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NPI Number | 1891418844
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Entity Type | Organization
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Legal Business Name | RECKLESS INC. DBA REAL TIME TRANSPORTATION
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Dates
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Enumeration Date | 09/23/2022
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Last Update Date | 09/23/2022
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Provider Practice Location Address
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Address Line | 1216 E EVA BLVD
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City | CHESAPEAKE
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State | VA
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Zip | 23320-6210
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Country | US
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Telephone | 175-746-9441
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Fax |
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Provider Business Mailing Address
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Address Line | 1500 SHIPYARD RD STE D1216
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City | CHESAPEAKE
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State | VA
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Zip | 23323-5516
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Country | US
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Telephone | 888-453-3985
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Fax |
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Authorized Official
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Title or Position | OFFICER
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Name | MARIO A. DAUGHTRY
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Credential |
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Telephone | 888-453-3985
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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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