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General NPI Number Information
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NPI Number | 1225720998
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Entity Type | Organization
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Legal Business Name | COMPLETE TIME TRANSPORT LLC
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Dates
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Enumeration Date | 05/22/2023
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Last Update Date | 05/22/2023
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Provider Practice Location Address
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Address Line | 7526 SW 6TH ST
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City | NORTH LAUDERDALE
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State | FL
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Zip | 33068-1338
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Country | US
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Telephone | 561-537-1022
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Fax |
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Provider Business Mailing Address
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Address Line | 4613 N UNIVERSITY DR # 311
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City | CORAL SPRINGS
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State | FL
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Zip | 33067-4602
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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 | AUTHORIZED OFFICIAL
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Name | SHANITA CROCKETT
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Credential |
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Telephone | 561-633-7341
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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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