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General NPI Number Information
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NPI Number | 1447011747
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Entity Type | Organization
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Legal Business Name | VISTA TRANSIT CARE LLC
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Dates
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Enumeration Date | 01/23/2024
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Last Update Date | 01/23/2024
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Provider Practice Location Address
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Address Line | 1011 W LANCASTER RD STE A-2
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City | ORLANDO
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State | FL
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Zip | 32809-5888
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Country | US
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Telephone | 321-411-2502
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Fax |
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Provider Business Mailing Address
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Address Line | 9100 CONROY WINDERMERE RD STE 200
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City | WINDERMERE
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State | FL
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Zip | 34786-8431
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Country | US
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Telephone | 321-236-3200
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | NICOLAS LORA
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Credential | BUSINESS DEVELOPMENT
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Telephone | 321-236-3200
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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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