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General NPI Number Information
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NPI Number | 1497668073
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Entity Type | Organization
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Legal Business Name | GENESIS MEDICAL TRANSPORT, LLC
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Dates
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Enumeration Date | 09/24/2026
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Last Update Date | 09/24/2026
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Provider Practice Location Address
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Address Line | 6691 RAINWOOD COVE LN
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City | LAKE WORTH
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State | FL
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Zip | 33463-7449
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Country | US
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Telephone | 561-306-0100
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Fax |
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Provider Business Mailing Address
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Address Line | 6691 RAINWOOD COVE LN
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City | LAKE WORTH
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State | FL
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Zip | 33463-7449
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Country | US
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Telephone | 561-306-0100
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | YOSSELET VIBERT
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Credential |
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Telephone | 561-797-6567
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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