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General NPI Number Information
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NPI Number | 1508392705
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Entity Type | Organization
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Legal Business Name | TRANSPORTING FOR JESUS INC.
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Dates
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Enumeration Date | 05/08/2017
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Last Update Date | 05/08/2017
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Provider Practice Location Address
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Address Line | 4647 ROSE OF TARA WAY
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City | ORLANDO
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State | FL
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Zip | 32808-2744
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Country | US
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Telephone | 407-952-7356
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 680768
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City | ORLANDO
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State | FL
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Zip | 32868-0768
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWN/PRESIDENT
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Name | CARLA MORTIMER
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Credential |
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Telephone | 407-952-7356
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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 | FL
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