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General NPI Number Information
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NPI Number | 1205330339
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Entity Type | Organization
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Legal Business Name | DL TRANSPORTATION GROUP, LLC
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Dates
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Enumeration Date | 03/22/2018
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Last Update Date | 06/16/2018
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Provider Practice Location Address
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Address Line | 5015 SEMINOLE BLVD STE A
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City | ST PETERSBURG
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State | FL
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Zip | 33708-3377
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Country | US
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Telephone | 727-202-9425
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Fax | 727-999-2007
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Provider Business Mailing Address
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Address Line | 5015 SEMINOLE BLVD STE A
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City | ST PETERSBURG
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State | FL
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Zip | 33708-3377
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Country | US
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Telephone | 727-202-9425
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Fax | 727-999-2007
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Authorized Official
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Title or Position | OPERATION MANAGER/OWNER
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Name | MR. VITO LUCENTI
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Credential | OPERATIONS
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Telephone | 727-202-9425
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 172A00000X
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Taxonomy Name | Driver
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License Number | L253861572710
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License Number State | FL
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