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General NPI Number Information
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NPI Number | 1467079715
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Entity Type | Organization
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Legal Business Name | CLOCKWORK ASSISTED CARE MOBILITY, LLC
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Dates
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Enumeration Date | 07/02/2020
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Last Update Date | 07/02/2020
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Provider Practice Location Address
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Address Line | 1031 OSPREY COVE CIR
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City | GROVELAND
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State | FL
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Zip | 34736-2211
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Country | US
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Telephone | 407-233-5253
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Fax |
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Provider Business Mailing Address
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Address Line | 1031 OSPREY COVE CIR
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City | GROVELAND
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State | FL
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Zip | 34736-2211
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Country | US
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Telephone | 407-233-5253
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANTHONY RAMSARRAN
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Credential |
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Telephone | 407-595-9070
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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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