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General NPI Number Information
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NPI Number | 1972136257
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Entity Type | Organization
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Legal Business Name | GOLDENROD TRANSPORTATION
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Dates
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Enumeration Date | 02/14/2020
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Last Update Date | 02/15/2020
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Provider Practice Location Address
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Address Line | 2449 GOLF RD STE 22
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City | PHILADELPHIA
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State | PA
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Zip | 19131-1475
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Country | US
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Telephone | 267-743-8336
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Fax |
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Provider Business Mailing Address
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Address Line | 2632 TREMONT ST
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City | PHILADELPHIA
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State | PA
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Zip | 19152-1337
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Country | US
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Telephone | 267-348-7760
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | DENISE ALEXANDER
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Credential |
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Telephone | 267-348-7760
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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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