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General NPI Number Information
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NPI Number | 1164319844
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Entity Type | Organization
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Legal Business Name | EXGEO, LLC
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Dates
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Enumeration Date | 06/23/2025
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Last Update Date | 06/23/2025
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Provider Practice Location Address
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Address Line | 7241 HUMMINGBIRD LN
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City | NEW PORT RICHEY
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State | FL
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Zip | 34655-4010
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Country | US
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Telephone | 512-914-3205
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Fax |
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Provider Business Mailing Address
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Address Line | 4828 MEG CT
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City | NORTH PORT
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State | FL
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Zip | 34287-7334
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Country | US
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Telephone | 512-914-3205
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | DEREK GILL
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Credential | NRP
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Telephone | 512-914-3205
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number |
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License Number State |
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