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General NPI Number Information
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NPI Number | 1447788187
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Entity Type | Organization
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Legal Business Name | TINA'S TRANSPORT CORP.
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Dates
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Enumeration Date | 05/25/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1172 TARPON AVE
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City | SARASOTA
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State | FL
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Zip | 34237-3745
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Country | US
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Telephone | 941-586-0004
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Fax | 941-366-4945
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Provider Business Mailing Address
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Address Line | 1172 TARPON AVE
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City | SARASOTA
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State | FL
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Zip | 34237-3745
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Country | US
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Telephone | 941-586-0004
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Fax | 941-366-4945
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Authorized Official
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Title or Position | OWNER/VP
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Name | MRS. ERNESTINA M BAREA
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Credential |
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Telephone | 941-375-1354
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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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