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General NPI Number Information
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NPI Number | 1194543660
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Entity Type | Organization
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Legal Business Name | 4ECODE, LLC D.B.A. ME SQUARED CONNECTS
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Dates
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Enumeration Date | 10/02/2024
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Last Update Date | 10/02/2024
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Provider Practice Location Address
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Address Line | 63 PINDO PALM DR
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City | PONTE VEDRA
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State | FL
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Zip | 32081-6084
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Country | US
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Telephone | 904-484-6943
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Fax |
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Provider Business Mailing Address
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Address Line | 63 PINDO PALM DR
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City | PONTE VEDRA
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State | FL
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Zip | 32081-6084
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MARION EVANS
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Credential |
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Telephone | 904-484-6943
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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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