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General NPI Number Information
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NPI Number | 1437073160
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Entity Type | Organization
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Legal Business Name | G4T GODDIE 4 TRANSPORTATION
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Dates
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Enumeration Date | 08/06/2026
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Last Update Date | 08/09/2026
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Provider Practice Location Address
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Address Line | 20521 NW 23RD CT
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City | MIAMI GARDENS
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State | FL
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Zip | 33056-1524
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Country | US
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Telephone | 954-882-0137
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Fax |
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Provider Business Mailing Address
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Address Line | 7958 PINES BLVD STE 1021
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-6918
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Country | US
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Telephone | 954-480-3203
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Fax |
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Authorized Official
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Title or Position | MGR
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Name | MAE FORMAN
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Credential |
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Telephone | 954-882-0137
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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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