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General NPI Number Information
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NPI Number | 1568633428
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Entity Type | Organization
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Legal Business Name | MEDICAL TRANSPORTATION SERVICES, LLC.
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Dates
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Enumeration Date | 03/19/2008
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Last Update Date | 06/13/2008
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Provider Practice Location Address
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Address Line | 1425 NW 82ND AVE
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City | DORAL
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State | FL
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Zip | 33126-1507
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Country | US
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Telephone | 305-406-0051
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Fax | 305-406-0052
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Provider Business Mailing Address
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Address Line | 1425 NW 82ND AVE
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City | DORAL
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State | FL
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Zip | 33126-1507
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Country | US
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Telephone | 305-406-0051
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Fax | 305-406-0052
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Authorized Official
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Title or Position | GENERAL MANAGER
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Name | MR. JEROME MERCER
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Credential |
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Telephone | 305-406-0051
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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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