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General NPI Number Information
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NPI Number | 1376830521
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Entity Type | Organization
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Legal Business Name | COURTESY TRANSPORT SERVICES, LLC
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Dates
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Enumeration Date | 07/07/2011
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Last Update Date | 07/07/2011
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Provider Practice Location Address
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Address Line | 6500 CRILL AVE
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City | PALATKA
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State | FL
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Zip | 32177-9230
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Country | US
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Telephone | 386-336-9515
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Fax | 888-475-1300
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Provider Business Mailing Address
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Address Line | 1710 NE 40TH AVE
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City | OCALA
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State | FL
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Zip | 34470-5026
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Country | US
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Telephone | 386-336-9515
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Fax | 888-475-1300
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Authorized Official
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Title or Position | MANAGER
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Name | MRS. MELANIE BURGER
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Credential |
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Telephone | 386-336-9515
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | BLS5403
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License Number State | FL
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