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NPI 1558616011

NPI 1558616011 : Z E TOURS, INC : KISSIMMEE, FL

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General NPI Number Information
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    NPI Number           |    1558616011
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    Entity Type          |    Organization 
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    Legal Business Name  |    Z E TOURS, INC 
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Dates
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    Enumeration Date     |    07/19/2012
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    Last Update Date     |    07/19/2012
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Provider Practice Location Address
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    Address Line         |    5483 W US HIGHWAY 192 
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    City                 |    KISSIMMEE
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    State                |    FL
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    Zip                  |    34746-4713
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    Country              |    US
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    Telephone            |    863-512-0256
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5483 W US HIGHWAY 192 
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    City                 |    KISSIMMEE
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    State                |    FL
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    Zip                  |    34746-4713
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    Country              |    US
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    Telephone            |    863-512-0256
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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. DALE ROBERT MCGOWEN 
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    Credential           |    
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    Telephone            |    863-512-0256
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    332B00000X
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    Taxonomy Name        |    Durable Medical Equipment & Medical Supplies
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    License Number       |    59-8015384831-3
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    License Number State |    FL
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