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General NPI Number Information
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NPI Number | 1326271966
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Entity Type | Organization
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Legal Business Name | MEDIC SHUTTLE CORPORATION
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Dates
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Enumeration Date | 08/31/2009
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Last Update Date | 08/31/2009
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Provider Practice Location Address
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Address Line | 628 AVE ESCORIAL CAPARRA HEIGHTS
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City | SAN JUAN
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State | PR
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Zip | 00920-4719
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Country | US
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Telephone | 787-599-5417
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Fax | 787-273-7193
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Provider Business Mailing Address
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Address Line | 1353 AVE LUIS VIGOREAUX PMB 677
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City | GUAYNABO
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State | PR
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Zip | 00966-2715
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Country | US
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Telephone | 787-599-5417
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Fax | 787-273-7193
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Authorized Official
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Title or Position | OWNER
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Name | MRS. SHIRLEY ANN RIVERA
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Credential |
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Telephone | 787-599-5417
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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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