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General NPI Number Information
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NPI Number | 1508992975
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Entity Type | Organization
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Legal Business Name | PERKINS NON EMERGENCY TRANSPOR
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 04/22/2008
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Provider Practice Location Address
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Address Line | 1237 S D ST
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City | LAKE WORTH
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State | FL
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Zip | 33460-5441
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Country | US
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Telephone | 561-261-9434
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Fax |
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Provider Business Mailing Address
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Address Line | 865 DR MARTIN LUTHER KING JR BLVD W
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City | BELLE GLADES
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State | FL
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Zip | 33430-3731
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Country | US
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Telephone | 561-261-9434
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. WILL PERKINS
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Credential |
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Telephone | 561-261-9434
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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 | P625-880-47-302-0
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License Number State | FL
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