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General NPI Number Information
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NPI Number | 1306494166
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Entity Type | Organization
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Legal Business Name | MICHEL TRANSPORTATION LLC
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Dates
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Enumeration Date | 08/26/2019
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Last Update Date | 08/26/2019
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Provider Practice Location Address
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Address Line | 4880 51ST ST W APT 1101
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City | BRADENTON
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State | FL
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Zip | 34210-5132
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Country | US
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Telephone | 754-779-1951
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Fax |
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Provider Business Mailing Address
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Address Line | 4880 51ST ST W APT 1101
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City | BRADENTON
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State | FL
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Zip | 34210-5132
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Country | US
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Telephone | 754-779-1951
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Fax |
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Authorized Official
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Title or Position | DRIVER
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Name | MR. BECKEN MICHEL
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Credential | TRANSPORTATION
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Telephone | 754-779-1951
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347E00000X
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Taxonomy Name | Transportation Broker
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License Number |
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License Number State |
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