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General NPI Number Information
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NPI Number | 1306379862
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Entity Type | Organization
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Legal Business Name | ALLIANCE TAXI AND SHUTTLE, LLC
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Dates
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Enumeration Date | 04/11/2017
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Last Update Date | 04/11/2017
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Provider Practice Location Address
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Address Line | 55 BLAKEPORT LN
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City | PALM COAST
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State | FL
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Zip | 32137-7334
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Country | US
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Telephone | 386-259-3111
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Fax |
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Provider Business Mailing Address
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Address Line | 226A SAINT JOE PLAZA DR #144
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City | PALM COAST
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State | FL
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Zip | 32164-3615
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Country | US
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Telephone | 386-259-3111
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. RICHARD DAKE
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Credential |
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Telephone | 386-259-3111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 344600000X
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Taxonomy Name | Taxi
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License Number |
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License Number State |
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