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General NPI Number Information
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NPI Number | 1962943928
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Entity Type | Organization
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Legal Business Name | NE TRANS CARE, LLC
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Dates
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Enumeration Date | 03/10/2017
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Last Update Date | 03/10/2017
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Provider Practice Location Address
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Address Line | 2198 GATES RD
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City | BASSFIELD
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State | MS
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Zip | 39421-9543
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Country | US
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Telephone | 740-222-0063
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Fax | 248-404-6968
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Provider Business Mailing Address
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Address Line | PO BOX 1177
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City | WAVERLY
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State | OH
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Zip | 45690-2177
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Country | US
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Telephone | 740-222-0063
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Fax | 248-404-6968
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Authorized Official
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Title or Position | PRINCIPAL
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Name | DON D ECHOLS
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Credential |
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Telephone | 740-222-0063
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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 | LA
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