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General NPI Number Information
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NPI Number | 1376912428
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Entity Type | Organization
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Legal Business Name | ALL CARE TRANSPORT LLC
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Dates
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Enumeration Date | 09/18/2015
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Last Update Date | 09/18/2015
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Provider Practice Location Address
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Address Line | 5652 STRAWBERRY LAKES CIRCLE
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City | LAKE WORTH
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State | FL
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Zip | 33463
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Country | US
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Telephone | 561-281-3190
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Fax |
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Provider Business Mailing Address
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Address Line | 5652 STRAWBERRY LAKES CIR
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City | LAKE WORTH
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State | FL
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Zip | 33463-6504
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Country | US
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Telephone | 561-281-3190
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MONIQUE THOMPSON
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Credential |
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Telephone | 561-281-3190
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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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