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General NPI Number Information
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NPI Number | 1992616767
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Entity Type | Organization
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Legal Business Name | FABULOUS AUTOMOTIVE INTERNATIONAL
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Dates
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Enumeration Date | 09/14/2026
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Last Update Date | 09/14/2026
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Provider Practice Location Address
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Address Line | 30 CHESTNUT DR
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City | COVINGTON
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State | GA
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Zip | 30016-5581
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Country | US
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Telephone | 770-896-4582
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Fax |
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Provider Business Mailing Address
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Address Line | 5603 EMERALD GLN
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City | STONE MOUNTAIN
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State | GA
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Zip | 30088-3468
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Country | US
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Telephone | 770-896-4582
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Fax |
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Authorized Official
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Title or Position | TRUSTEE
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Name | W NURSE
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Credential |
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Telephone | 770-896-4582
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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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Taxonomy #2
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Taxonomy Code | 344600000X
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Taxonomy Name | Taxi
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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 | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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