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General NPI Number Information
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NPI Number | 1912765348
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Entity Type | Organization
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Legal Business Name | PRO CARE, NEMT, LLC
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Dates
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Enumeration Date | 03/11/2024
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Last Update Date | 03/11/2024
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Provider Practice Location Address
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Address Line | 801 WILSON ST
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City | DANVILLE
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State | VA
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Zip | 24541-1911
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Country | US
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Telephone | 804-370-9963
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5549
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City | RICHMOND
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State | VA
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Zip | 23220-0549
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Country | US
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Telephone | 804-370-9963
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOHNNY NEWMAN
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Credential |
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Telephone | 804-370-9963
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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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