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General NPI Number Information
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NPI Number | 1619433026
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Entity Type | Organization
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Legal Business Name | JMZ ADAPTIVE DRIVING & SS WHEELCHAIR TRANSPORT SERVICE
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Dates
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Enumeration Date | 02/11/2019
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Last Update Date | 02/11/2019
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Provider Practice Location Address
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Address Line | 31318 HEATHERSTONE DR
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City | WESLEY CHAPEL
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State | FL
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Zip | 33543-6812
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Country | US
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Telephone | 813-973-2090
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Fax | 813-973-2090
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Provider Business Mailing Address
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Address Line | 31318 HEATHERSTONE DR
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City | WESLEY CHAPEL
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State | FL
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Zip | 33543-6812
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Country | US
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Telephone | 813-973-2090
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Fax | 813-973-2090
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Authorized Official
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Title or Position | OWNER
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Name | JAYVEE ZARRAGA
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Credential | COTA/L
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Telephone | 217-419-8959
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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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