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General NPI Number Information
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NPI Number | 1215372214
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Entity Type | Organization
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Legal Business Name | MLC FINANCIAL SERVICES
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Dates
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Enumeration Date | 05/03/2013
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Last Update Date | 12/04/2015
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Provider Practice Location Address
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Address Line | 3175 AZALEA GARDEN RD STE C
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City | NORFOLK
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State | VA
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Zip | 23513-2363
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Country | US
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Telephone | 757-275-9548
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Fax | 757-583-5082
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Provider Business Mailing Address
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Address Line | 8027 CAMELLIA RD
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City | NORFOLK
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State | VA
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Zip | 23518-3416
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Country | US
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Telephone | 757-275-9548
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MACHEL L CRUZ
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Credential |
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Telephone | 757-544-0825
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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 | VA
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