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General NPI Number Information
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NPI Number | 1992415285
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Entity Type | Organization
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Legal Business Name | EMERALD CARE TRANSPORTATION LLC
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Dates
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Enumeration Date | 11/29/2022
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Last Update Date | 12/03/2023
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Provider Practice Location Address
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Address Line | 1870 THE EXCHANGE SE PMB 1090 STE 200
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City | ATLANTA
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State | GA
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Zip | 30339-7733
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Country | US
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Telephone | 183-333-2636
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Fax |
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Provider Business Mailing Address
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Address Line | 1870 THE EXCHANGE SE STE 200 PMB 1090
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City | ATLANTA
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State | GA
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Zip | 30339-2021
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Country | US
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Telephone | 833-332-6368
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JAZZMYNE SWANSON
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Credential |
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Telephone | 470-447-7079
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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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