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General NPI Number Information
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NPI Number | 1336603398
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Entity Type | Organization
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Legal Business Name | GO SENIOR TRANSIT, LLC
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Dates
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Enumeration Date | 01/24/2019
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Last Update Date | 01/24/2019
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Provider Practice Location Address
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Address Line | 257 S CYPRESS RD APT 418
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City | POMPANO BEACH
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State | FL
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Zip | 330607032
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Country | US
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Telephone | 561-305-1567
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Fax |
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Provider Business Mailing Address
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Address Line | 257 S CYPRESS RD APT 418
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City | POMPANO BEACH
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State | FL
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Zip | 330607032
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Country | US
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Telephone | 561-305-1567
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | VENEL SIMON
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Credential |
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Telephone | 561-305-1567
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174200000X
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Taxonomy Name | Meals
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care
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License Number |
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License Number State |
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Taxonomy #3
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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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Taxonomy #4
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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