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General NPI Number Information
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NPI Number | 1962002279
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Entity Type | Organization
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Legal Business Name | LIFE SERVICES &TRANSPORTATION INC.
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Dates
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Enumeration Date | 10/27/2020
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Last Update Date | 10/27/2020
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Provider Practice Location Address
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Address Line | 2075 MOUNTAIN ROAD
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City | HALIFAX
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State | VA
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Zip | 24558
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Country | US
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Telephone | 434-272-9342
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Fax |
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Provider Business Mailing Address
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Address Line | 1100 BILL TUCK HWY
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City | SOUTH BOSTON
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State | VA
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Zip | 24592-7138
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Country | US
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Telephone | 434-272-9342
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | TYRONZA COLEMAN
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Credential |
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Telephone | 434-272-9342
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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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Taxonomy #2
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 311Z00000X
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Taxonomy Name | Custodial Care Facility
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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