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General NPI Number Information
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NPI Number | 1962989053
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Entity Type | Organization
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Legal Business Name | LETS KEEP IT MOVING TRANSPORTATION
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Dates
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Enumeration Date | 07/23/2018
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Last Update Date | 07/23/2018
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Provider Practice Location Address
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Address Line | 412 7TH ST
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City | KENTWOOD
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State | LA
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Zip | 70444-2308
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Country | US
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Telephone | 888-203-1417
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Fax | 818-630-9480
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Provider Business Mailing Address
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Address Line | 412 7TH ST
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City | KENTWOOD
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State | LA
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Zip | 70444-2308
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Country | US
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Telephone | 888-203-1417
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Fax | 818-630-9480
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | TAMIKA DICKERSON
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Credential |
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Telephone | 888-203-1417
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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 | 801108471
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License Number State | MS
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