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General NPI Number Information
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NPI Number | 1205347929
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Entity Type | Organization
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Legal Business Name | EXQUISITE TRANSPORTATION SERVICES LLC
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Dates
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Enumeration Date | 10/20/2017
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Last Update Date | 10/20/2017
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Provider Practice Location Address
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Address Line | 3004 VERNON AVE S
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City | LEHIGH ACRES
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State | FL
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Zip | 33973-6152
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Country | US
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Telephone | 239-895-7792
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Fax |
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Provider Business Mailing Address
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Address Line | 3004 VERNON AVE S
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City | LEHIGH ACRES
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State | FL
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Zip | 33973-6152
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Country | US
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Telephone | 239-895-7792
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MR. ELISHA LEARDER JONES
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Credential |
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Telephone | 239-895-7792
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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 | L17000215200
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License Number State | FL
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