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General NPI Number Information
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NPI Number | 1316325558
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Entity Type | Organization
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Legal Business Name | DEPENDABLE TRANSIT SERVICE
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Dates
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Enumeration Date | 05/07/2015
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Last Update Date | 05/07/2015
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Provider Practice Location Address
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Address Line | 2750 CREEK RIDGE DR
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City | GREEN COVE SPRINGS
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State | FL
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Zip | 32043-6215
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Country | US
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Telephone | 386-628-1249
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Fax | 386-628-0201
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Provider Business Mailing Address
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Address Line | PO BOX 55
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City | WHITE SPRINGS
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State | FL
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Zip | 32096-0055
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Country | US
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Telephone | 386-628-1249
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Fax | 386-628-0201
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Authorized Official
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Title or Position | OWNER
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Name | BRENDA PRYCE
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Credential |
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Telephone | 386-628-1249
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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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