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General NPI Number Information
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NPI Number | 1376003210
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Entity Type | Organization
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Legal Business Name | A-1 TRANSPORTATION & SHUTTLE SERVICES LLC
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Dates
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Enumeration Date | 03/25/2019
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Last Update Date | 03/25/2019
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Provider Practice Location Address
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Address Line | 1000 PATRIOT LN APT 120
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City | CRESTVIEW
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State | FL
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Zip | 32539-7404
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Country | US
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Telephone | 850-603-8532
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Fax |
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Provider Business Mailing Address
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Address Line | 373 BROWN PL
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City | CRESTVIEW
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State | FL
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Zip | 32539-5768
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Country | US
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Telephone | 850-603-8532
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. NATHANIEL COTTON II
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Credential |
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Telephone | 850-603-8532
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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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