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General NPI Number Information
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NPI Number | 1922944909
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Entity Type | Organization
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Legal Business Name | ARRADDA TRANSPORTATION AR LLC
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Dates
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Enumeration Date | 04/24/2026
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Last Update Date | 04/24/2026
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Provider Practice Location Address
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Address Line | 1511 S HERITAGE CIR
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City | ROGERS
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State | AR
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Zip | 72758-4947
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Country | US
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Telephone | 512-317-4357
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Fax |
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Provider Business Mailing Address
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Address Line | 1511 S HERITAGE CIR
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City | ROGERS
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State | AR
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Zip | 72758-4947
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TEWODROS KASSA
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Credential |
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Telephone | 512-317-4357
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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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