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General NPI Number Information
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NPI Number | 1982271334
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Entity Type | Organization
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Legal Business Name | TRAVEL WITH CLASS LLC
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Dates
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Enumeration Date | 06/04/2021
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Last Update Date | 02/22/2022
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Provider Practice Location Address
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Address Line | 539 W COMMERCE ST
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City | DALLAS
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State | TX
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Zip | 75208-1953
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Country | US
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Telephone | 469-616-1197
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Fax |
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Provider Business Mailing Address
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Address Line | 539 W COMMERCE ST
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City | DALLAS
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State | TX
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Zip | 75208-1953
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Country | US
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Telephone | 469-616-1197
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | CELESTE WILLIAMS
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Credential |
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Telephone | 469-616-1197
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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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 | 251J00000X
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Taxonomy Name | Nursing Care Agency
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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 | 3140N1450X
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Taxonomy Name | Pediatric Skilled Nursing 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 | 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 #5
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Taxonomy Code | 343800000X
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Taxonomy Name | Secured Medical Transport (VAN)
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License Number |
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License Number State |
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