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An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Private Vehicle |
347C00000X |
| NPI # | 1083321301 |
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| Entity | Organization | ||||
| Organization subpart 1 | Not specified | ||||
| Enumeration date | 11/07/2022 | ||||
| Last updated | 11/07/2022 - About 4 years ago | ||||
| Identifiers |
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AFFIE A BULLOCK
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AFFIE A BULLOCK