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General NPI Number Information
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NPI Number | 1417444761
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Entity Type | Organization
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Legal Business Name | PRIORITYCARE TRANSIT LLC
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Dates
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Enumeration Date | 04/21/2018
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Last Update Date | 04/21/2018
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Provider Practice Location Address
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Address Line | 106 S FEDERAL HWY
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City | POMPANO BEACH
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State | FL
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Zip | 33062-5321
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Country | US
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Telephone | 954-588-2475
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Fax | 888-874-7457
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Provider Business Mailing Address
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Address Line | 3343 PORT ROYALE DR S APT 101
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City | FORT LAUDERDALE
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State | FL
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Zip | 33308-7933
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Country | US
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Telephone | 954-588-2475
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Fax | 888-874-7457
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Authorized Official
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Title or Position | DIRECTOR
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Name | MISS DEBBIE ANDRI COVA
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Credential |
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Telephone | 954-588-2475
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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 | 10-148
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License Number State | FL
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