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General NPI Number Information
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NPI Number | 1902542400
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Entity Type | Organization
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Legal Business Name | G NEVELS TRANSPORTS LLC
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Dates
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Enumeration Date | 05/07/2022
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Last Update Date | 05/07/2022
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Provider Practice Location Address
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Address Line | 105 SKYLARK DR
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City | TEXARKANA
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State | TX
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Zip | 75503-0043
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Country | US
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Telephone | 903-691-5722
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Fax |
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Provider Business Mailing Address
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Address Line | 701 N OATS ST APT 313
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City | TEXARKANA
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State | AR
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Zip | 71854-5722
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Country | US
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Telephone | 903-691-5722
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | GREGORY NEVELS
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Credential |
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Telephone | 903-691-5722
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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