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General NPI Number Information
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NPI Number | 1932982121
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Entity Type | Organization
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Legal Business Name | TKT RELIABLE TRANSPORTATION L.L.C.
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Dates
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Enumeration Date | 08/14/2023
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Last Update Date | 08/14/2023
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Provider Practice Location Address
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Address Line | 1200 ETON COURT NW STE 204 #260
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City | WASHINGTON
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State | DC
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Zip | 20007-3239
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Country | US
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Telephone | 800-742-6185
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Fax | 800-742-6185
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Provider Business Mailing Address
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Address Line | 1200 ETON COURT NW STE 204 #260
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City | WASHINGTON
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State | DC
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Zip | 20007-3239
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Country | US
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Telephone | 800-742-6185
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Fax | 800-742-6185
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | KEANDRA LYNN JACKSON
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Credential |
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Telephone | 800-742-6185
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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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Taxonomy #2
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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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