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General NPI Number Information
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NPI Number | 1114550423
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Entity Type | Organization
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Legal Business Name | WHC WPB
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Dates
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Enumeration Date | 02/14/2020
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Last Update Date | 02/14/2020
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Provider Practice Location Address
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Address Line | 1700 N FLORIDA MANGO RD
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City | WEST PALM BEACH
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State | FL
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Zip | 33409-5214
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Country | US
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Telephone | 561-242-6405
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Fax |
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Provider Business Mailing Address
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Address Line | 1685 TARGET CT STE 15
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City | FORT MYERS
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State | FL
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Zip | 33905-4926
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Country | US
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Telephone | 239-265-1891
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Fax |
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Authorized Official
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Title or Position | REGIONAL VP
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Name | TERRY O'TOOLE
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Credential |
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Telephone | 816-512-5514
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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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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