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General NPI Number Information
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NPI Number | 1902657042
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Entity Type | Organization
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Legal Business Name | REESE EXPRESS TRANSPORTATION LLC
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Dates
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Enumeration Date | 03/28/2024
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Last Update Date | 03/28/2024
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Provider Practice Location Address
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Address Line | 7600 SOUTH UNIVERSITY AVENUE SUITE 14
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City | LITTLE ROCK
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State | AR
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Zip | 72209-3733
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Country | US
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Telephone | 501-708-6922
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Fax |
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Provider Business Mailing Address
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Address Line | 7600 S UNIVERSITY AVE STE 14
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City | LITTLE ROCK
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State | AR
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Zip | 72209-3733
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Country | US
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Telephone | 501-708-6922
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Fax |
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Authorized Official
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Title or Position | OWNER/MEMBER
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Name | MAURICE B PORTER JR.
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Credential | LICENSED
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Telephone | 501-708-6922
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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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