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General NPI Number Information
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NPI Number | 1902090996
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Entity Type | Organization
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Legal Business Name | ARJENNA' PARABASIC TRANSPORT LLC
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Dates
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Enumeration Date | 09/01/2007
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Last Update Date | 09/01/2007
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Provider Practice Location Address
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Address Line | 81 OLD BUTTERMILK RD LOT 1
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City | MONTEVALLO
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State | AL
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Zip | 35115-9109
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Country | US
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Telephone | 205-665-4321
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Fax | 205-664-9777
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Provider Business Mailing Address
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Address Line | 81 OLD BUTTERMILK RD LOT 1
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City | MONTEVALLO
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State | AL
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Zip | 35115-9109
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Country | US
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Telephone | 205-665-4321
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Fax | 205-664-9777
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MRS. RETTA JENNA HOOD
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Credential |
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Telephone | 205-665-4321
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number |
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License Number State |
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