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General NPI Number Information
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NPI Number | 1245879055
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Entity Type | Organization
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Legal Business Name | ATZA SWICHT TRANSPORTATION CORP
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Dates
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Enumeration Date | 12/26/2019
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Last Update Date | 12/26/2019
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Provider Practice Location Address
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Address Line | 1309 SANTA ROSA DR APT 202
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City | KISSIMMEE
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State | FL
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Zip | 34741-7572
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Country | US
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Telephone | 321-274-5959
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Fax |
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Provider Business Mailing Address
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Address Line | 1309 SANTA ROSA DRIVE APT 202
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City | KISSIMMEE
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State | FL
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Zip | 34741-7572
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Country | US
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Telephone | 321-274-5957
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. MIGUEL A PETIT SR.
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Credential |
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Telephone | 321-274-5957
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number |
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License Number State |
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