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General NPI Number Information
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NPI Number | 1912226135
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Entity Type | Organization
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Legal Business Name | EXPRESS TRUCKING
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Dates
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Enumeration Date | 05/27/2010
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Last Update Date | 05/27/2010
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Provider Practice Location Address
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Address Line | 5015 ALDINE BENDER RD 7104
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City | HOUSTON
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State | TX
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Zip | 77032-4232
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Country | US
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Telephone | 281-227-0088
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Fax | 888-828-1004
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Provider Business Mailing Address
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Address Line | 4830 WILSON RD 300 120
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City | HUMBLE
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State | TX
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Zip | 77396-1971
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Country | US
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Telephone | 281-227-0088
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Fax | 888-828-1004
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Authorized Official
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Title or Position | OWNER
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Name | LATOSHA RENA MANNING
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Credential |
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Telephone | 281-905-1567
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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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