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General NPI Number Information
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NPI Number | 1306408869
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Entity Type | Organization
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Legal Business Name | HERD TRANSPORTATION SERVICE INC
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Dates
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Enumeration Date | 07/05/2019
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Last Update Date | 07/05/2019
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Provider Practice Location Address
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Address Line | 618 SE 13TH PL
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City | CAPE CORAL
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State | FL
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Zip | 33990-2625
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Country | US
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Telephone | 877-242-4373
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Fax | 239-330-2120
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Provider Business Mailing Address
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Address Line | PO BOX 151232
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City | CAPE CORAL
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State | FL
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Zip | 33915-1232
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Country | US
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Telephone | 877-242-4373
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Fax | 239-330-2120
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Authorized Official
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Title or Position | PRESIDENT
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Name | SALVADOR BERMUDEZ
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Credential |
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Telephone | 877-242-4373
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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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