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General NPI Number Information
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NPI Number | 1225519598
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Entity Type | Organization
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Legal Business Name | MED AIDE SERVICES INC
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Dates
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Enumeration Date | 08/24/2018
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Last Update Date | 08/24/2018
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Provider Practice Location Address
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Address Line | 4710 N AUSTRALIAN AVE
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City | MANGONIA PARK
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State | FL
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Zip | 33407-2306
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Country | US
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Telephone | 561-845-6006
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Fax |
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Provider Business Mailing Address
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Address Line | 4710 N AUSTRALIAN AVE
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City | MANGONIA PARK
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State | FL
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Zip | 33407-2306
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Country | US
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Telephone | 561-845-6006
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Fax |
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Authorized Official
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Title or Position | MANAGER/OWNER
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Name | MERLYN P ROBERTS
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Credential |
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Telephone | 561-845-6006
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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 | VH2029
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License Number State | FL
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