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NPI 1184189573

NPI 1184189573 : SHEFFIELD'S MEDICAL NON-EMERGENCY TRANSPORTATION LLC : LIVE OAK, FL

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General NPI Number Information
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    NPI Number           |    1184189573
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    Entity Type          |    Organization 
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    Legal Business Name  |    SHEFFIELD'S MEDICAL NON-EMERGENCY TRANSPORTATION LLC 
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Dates
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    Enumeration Date     |    02/10/2019
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    Last Update Date     |    02/10/2019
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Provider Practice Location Address
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    Address Line         |    7689 133RD RD 
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    City                 |    LIVE OAK
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    State                |    FL
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    Zip                  |    32060-8840
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    Country              |    US
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    Telephone            |    386-209-3988
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    Fax                  |    386-362-1807
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Provider Business Mailing Address
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    Address Line         |    7689 133RD RD 
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    City                 |    LIVE OAK
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    State                |    FL
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    Zip                  |    32060-8840
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    Country              |    US
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    Telephone            |    386-209-3988
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    Fax                  |    386-362-1807
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MS. SAMANTHA E. ROUNDTREE 
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    Credential           |    
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    Telephone            |    386-209-3988
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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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