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General NPI Number Information
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NPI Number | 1255210035
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Entity Type | Organization
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Legal Business Name | ZARZUELA LLC
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Dates
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Enumeration Date | 08/27/2025
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Last Update Date | 11/07/2025
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Provider Practice Location Address
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Address Line | 1145 S LAKE STARR BLVD
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City | LAKE WALES
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State | FL
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Zip | 33898-7666
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Country | US
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Telephone | 551-238-3798
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Fax | 973-279-0200
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Provider Business Mailing Address
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Address Line | 1145 S LAKE STARR BLVD
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City | LAKE WALES
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State | FL
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Zip | 33898-7666
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Country | US
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Telephone | 551-238-3798
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Fax | 973-279-0200
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Authorized Official
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Title or Position | OWNER
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Name | MRS. CARMEN LORAN
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Credential |
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Telephone | 973-277-7679
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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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