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General NPI Number Information
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NPI Number | 1912706771
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Entity Type | Organization
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Legal Business Name | KCGB TRANSPORTATION
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Dates
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Enumeration Date | 03/12/2025
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Last Update Date | 03/12/2025
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Provider Practice Location Address
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Address Line | 450 PIEDMONT AVE NE APT 1411
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City | ATLANTA
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State | GA
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Zip | 30308-3442
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Country | US
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Telephone | 318-349-8272
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Fax | 318-725-7448
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Provider Business Mailing Address
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Address Line | 450 PIEDMONT AVE NE APT 1411
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City | ATLANTA
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State | GA
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Zip | 30308-3442
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Country | US
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Telephone | 318-349-8272
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Fax | 318-706-3036
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Authorized Official
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Title or Position | CEO
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Name | KEITH CUMMINGS
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Credential |
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Telephone | 318-670-7447
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 342000000X
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Taxonomy Name | Transportation Network Company
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License Number |
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License Number State |
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