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General NPI Number Information
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NPI Number | 1568210979
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Entity Type | Organization
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Legal Business Name | ELITE MEDICAL TRANSPORT FLEET CORP
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Dates
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Enumeration Date | 05/09/2024
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Last Update Date | 02/07/2025
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Provider Practice Location Address
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Address Line | 2517 HYDRAULIC RD APT 66
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22901-2341
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Country | US
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Telephone | 434-202-2937
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Fax |
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Provider Business Mailing Address
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Address Line | 2517 HYDRAULIC RD APT 66
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22901-2341
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Country | US
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Telephone | 434-953-0367
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | WINN SPEARS
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Credential | IR775, TAXI , CPR
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Telephone | 434-202-2937
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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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Taxonomy #2
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Taxonomy Code | 344600000X
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Taxonomy Name | Taxi
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License Number |
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License Number State |
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